Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $298.04 / $1,889.00	Professional		$238.66	$298.04	$1,889.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.10 / $452.33 / $542.79	Professional		$369.10	$452.33	$542.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $441.24 / $511.36 / $1,715.00	Professional		$441.24	$511.36	$1,715.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.24 / $398.05 / $452.33	Professional		$314.24	$398.05	$452.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.10 / $452.33 / $563.57	Professional		$369.10	$452.33	$563.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $326.52 / $447.02	Professional		$60.10	$326.52	$447.02