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 $891.41 / $891.41 / $891.41	Professional		$891.41	$891.41	$891.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.78 / $959.36 / $1,151.24	Professional		$751.78	$959.36	$1,151.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,115.76 / $1,221.08 / $1,441.63	Professional		$1,115.76	$1,221.08	$1,441.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.24 / $920.99 / $1,074.49	Professional		$844.24	$920.99	$1,074.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.84 / $959.36 / $1,273.91	Professional		$782.84	$959.36	$1,273.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $939.71 / $1,055.11	Professional		$29.27	$939.71	$1,055.11