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 $133.09 / $153.69 / $680.29	Professional		$133.09	$153.69	$680.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $283.56	Facility		$283.56	$283.56	$283.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.63 / $684.16 / $977.91	Professional		$180.63	$684.16	$977.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $250.69 / $302.70 / $1,097.03	Professional		$250.69	$302.70	$1,097.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.27 / $797.54 / $906.30	Professional		$173.27	$797.54	$906.30
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 $739.54 / $906.30 / $1,183.79	Professional		$739.54	$906.30	$1,183.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $988.31 / $3,316.00	Professional		$29.27	$988.31	$3,316.00