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 $434.42 / $456.64 / $583.00	Professional		$434.42	$456.64	$583.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.46 / $618.36 / $1,046.96	Professional		$461.46	$618.36	$1,046.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $642.58 / $721.96 / $830.25	Professional		$642.58	$721.96	$830.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.16 / $593.63 / $692.57	Professional		$544.16	$593.63	$692.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.49 / $618.36 / $799.71	Professional		$451.49	$618.36	$799.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $433.89 / $653.39	Professional		$81.67	$433.89	$653.39