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 $300.23 / $437.25 / $542.27	Professional		$300.23	$437.25	$542.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.98 / $609.76 / $731.72	Professional		$485.98	$609.76	$731.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $551.19 / $651.78 / $786.63	Professional		$551.19	$651.78	$786.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.16 / $517.08 / $609.76	Professional		$377.16	$517.08	$609.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.57 / $624.88 / $827.78	Professional		$497.57	$624.88	$827.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $312.33 / $1,903.00 / $5,675.00	Professional		$312.33	$1,903.00	$5,675.00