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 $553.73 / $681.27 / $1,061.11	Professional		$553.73	$681.27	$1,061.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.54 / $825.41 / $990.50	Professional		$673.54	$825.41	$990.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,015.94 / $1,141.44 / $4,765.00	Professional		$1,015.94	$1,141.44	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.09 / $726.36 / $825.41	Professional		$593.09	$726.36	$825.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.54 / $825.41 / $1,641.98	Professional		$673.54	$825.41	$1,641.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $617.04 / $930.99	Professional		$109.51	$617.04	$930.99