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 $167.83 / $199.58 / $884.80	Professional		$167.83	$199.58	$884.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $772.76 / $956.92	Professional		$207.10	$772.76	$956.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $252.39 / $290.70 / $1,232.30	Professional		$252.39	$290.70	$1,232.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $680.03 / $772.76	Professional		$192.38	$680.03	$772.76
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 $630.57 / $873.59 / $1,229.84	Professional		$630.57	$873.59	$1,229.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $198.55 / $811.99	Professional		$29.27	$198.55	$811.99