Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $822.82 / $1,193.63	Professional		$136.25	$822.82	$1,193.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.44 / $1,077.91 / $1,111.93	Professional		$179.44	$1,077.91	$1,111.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $235.52 / $291.62 / $1,507.23	Professional		$235.52	$291.62	$1,507.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $978.49 / $1,245.35	Professional		$159.61	$978.49	$1,245.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $907.33 / $1,194.10 / $1,720.04	Professional		$907.33	$1,194.10	$1,720.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $875.49 / $4,081.00 / $5,309.00	Professional		$875.49	$4,081.00	$5,309.00