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 $288.83 / $320.19 / $543.26	Professional		$288.83	$320.19	$543.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.21 / $419.29 / $503.15	Professional		$341.21	$419.29	$503.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $423.82 / $487.64 / $628.99	Professional		$423.82	$487.64	$628.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.18 / $387.70 / $436.06	Professional		$341.18	$387.70	$436.06
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 $310.02 / $418.19 / $505.34	Professional		$310.02	$418.19	$505.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $359.12 / $436.13	Professional		$54.52	$359.12	$436.13