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 $246.62 / $270.45 / $271.29	Professional		$246.62	$270.45	$271.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $341.55 / $409.86	Professional		$278.70	$341.55	$409.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $399.68 / $437.40 / $516.41	Professional		$399.68	$437.40	$516.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $303.93 / $355.21	Professional		$267.45	$303.93	$355.21
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 $278.70 / $341.55 / $477.68	Professional		$278.70	$341.55	$477.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $312.73 / $411.29	Professional		$51.41	$312.73	$411.29