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 $142.62 / $177.19 / $2,102.58	Professional		$142.62	$177.19	$2,102.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $2,223.36 / $2,251.38	Professional		$178.36	$2,223.36	$2,251.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $225.74 / $260.01 / $2,981.45	Professional		$225.74	$260.01	$2,981.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $1,956.56 / $2,223.36	Professional		$166.26	$1,956.56	$2,223.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,779.67 / $2,223.36 / $2,553.33	Professional		$1,779.67	$2,223.36	$2,553.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $180.87 / $201.32	Professional		$25.16	$180.87	$201.32