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 $390.43 / $390.43 / $390.43	Professional		$390.43	$390.43	$390.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.49 / $595.17 / $714.21	Professional		$455.49	$595.17	$714.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $608.69 / $666.16 / $1,715.00	Professional		$608.69	$666.16	$1,715.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.75 / $571.37 / $666.60	Professional		$523.75	$571.37	$666.60
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 $430.22 / $595.17 / $724.22	Professional		$430.22	$595.17	$724.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $415.96 / $626.39	Professional		$29.27	$415.96	$626.39