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 $222.28 / $318.61 / $1,497.00	Professional		$222.28	$318.61	$1,497.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.42 / $494.36 / $593.24	Professional		$386.42	$494.36	$593.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $420.72 / $490.16 / $599.36	Professional		$420.72	$490.16	$599.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.94 / $419.22 / $494.36	Professional		$300.94	$419.22	$494.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $492.76 / $604.83	Professional		$367.78	$492.76	$604.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $356.76 / $3,113.00	Professional		$238.41	$356.76	$3,113.00