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 $162.34 / $280.97 / $2,399.83	Professional		$162.34	$280.97	$2,399.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.51 / $2,146.00 / $2,428.25	Professional		$208.51	$2,146.00	$2,428.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $304.29 / $350.49 / $3,211.20	Professional		$304.29	$350.49	$3,211.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.46 / $2,136.86 / $2,428.25	Professional		$222.46	$2,136.86	$2,428.25
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 $1,981.45 / $2,428.25 / $3,471.83	Professional		$1,981.45	$2,428.25	$3,471.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $259.66 / $3,019.52	Professional		$172.43	$259.66	$3,019.52