Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.63 / $774.63 / $774.63	Professional		$774.63	$774.63	$774.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.68 / $906.46 / $1,087.76	Professional		$709.68	$906.46	$1,087.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,016.14 / $1,112.05 / $1,312.91	Professional		$1,016.14	$1,112.05	$1,312.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.69 / $870.20 / $1,015.24	Professional		$797.69	$870.20	$1,015.24
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 $739.67 / $906.46 / $1,125.48	Professional		$739.67	$906.46	$1,125.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $661.63 / $996.34	Professional		$29.27	$661.63	$996.34