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 $204.34 / $2,373.01 / $5,191.70	Professional		$204.34	$2,373.01	$5,191.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,078.32 / $3,772.45 / $4,532.42	Professional		$3,078.32	$3,772.45	$4,532.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $344.19 / $396.45 / $5,934.33	Professional		$344.19	$396.45	$5,934.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.97 / $3,199.04 / $3,772.45	Professional		$226.97	$3,199.04	$3,772.45
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 $3,078.32 / $3,772.45 / $6,488.28	Professional		$3,078.32	$3,772.45	$6,488.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $283.29 / $4,604.97	Professional		$29.27	$283.29	$4,604.97