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 $201.37 / $246.22 / $450.92	Professional		$201.37	$246.22	$450.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.45 / $349.60 / $419.52	Professional		$274.45	$349.60	$419.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $349.84 / $393.06 / $2,077.00	Professional		$349.84	$393.06	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.99 / $307.64 / $363.58	Professional		$267.99	$307.64	$363.58
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 $261.74 / $349.60 / $423.92	Professional		$261.74	$349.60	$423.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $279.60 / $360.01	Professional		$45.00	$279.60	$360.01