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 $231.18 / $265.93 / $484.77	Professional		$231.18	$265.93	$484.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.54 / $373.21 / $447.86	Professional		$304.54	$373.21	$447.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $376.60 / $423.12 / $2,077.00	Professional		$376.60	$423.12	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.30 / $356.03 / $398.75	Professional		$313.30	$356.03	$398.75
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 $272.58 / $371.10 / $445.17	Professional		$272.58	$371.10	$445.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $326.75 / $387.55	Professional		$48.44	$326.75	$387.55