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 $180.93 / $219.18 / $422.72	Professional		$180.93	$219.18	$422.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.68 / $324.36 / $389.24	Professional		$264.68	$324.36	$389.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $324.69 / $364.80 / $2,077.00	Professional		$324.69	$364.80	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.08 / $305.79 / $342.48	Professional		$269.08	$305.79	$342.48
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 $233.84 / $320.07 / $382.98	Professional		$233.84	$320.07	$382.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $259.54 / $334.13	Professional		$41.77	$259.54	$334.13