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 $774.26 / $774.26 / $774.26	Professional		$774.26	$774.26	$774.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.37 / $905.84 / $1,087.01	Professional		$709.37	$905.84	$1,087.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,015.63 / $1,111.50 / $1,312.25	Professional		$1,015.63	$1,111.50	$1,312.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.14 / $869.60 / $1,014.54	Professional		$797.14	$869.60	$1,014.54
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 $739.16 / $905.84 / $1,124.93	Professional		$739.16	$905.84	$1,124.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $661.00 / $995.39	Professional		$29.27	$661.00	$995.39