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 $249.21 / $286.02 / $1,648.48	Professional		$249.21	$286.02	$1,648.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.73 / $1,518.24 / $1,802.84	Professional		$321.73	$1,518.24	$1,802.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $364.08 / $449.53 / $1,941.04	Professional		$364.08	$449.53	$1,941.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.60 / $1,336.05 / $1,518.24	Professional		$267.60	$1,336.05	$1,518.24
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 $1,238.88 / $1,596.96 / $2,266.64	Professional		$1,238.88	$1,596.96	$2,266.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $227.88 / $310.68 / $2,040.76	Professional		$227.88	$310.68	$2,040.76