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 $710.57 / $710.57 / $710.57	Professional		$710.57	$710.57	$710.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.76 / $831.50 / $997.80	Professional		$651.76	$831.50	$997.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $932.23 / $1,020.23 / $1,204.50	Professional		$932.23	$1,020.23	$1,204.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.72 / $798.24 / $931.28	Professional		$731.72	$798.24	$931.28
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 $678.50 / $831.50 / $1,034.09	Professional		$678.50	$831.50	$1,034.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $607.52 / $914.85	Professional		$29.27	$607.52	$914.85