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 $178.16 / $324.89 / $2,778.39	Professional		$178.16	$324.89	$2,778.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.65 / $1,821.86 / $2,939.01	Professional		$219.65	$1,821.86	$2,939.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $312.14 / $359.55 / $3,889.78	Professional		$312.14	$359.55	$3,889.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.93 / $1,603.24 / $1,821.86	Professional		$229.93	$1,603.24	$1,821.86
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 $1,486.64 / $2,542.51 / $3,644.07	Professional		$1,486.64	$2,542.51	$3,644.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $245.56 / $274.33	Professional		$34.56	$245.56	$274.33