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 $353.18 / $815.81 / $3,352.85	Professional		$353.18	$815.81	$3,352.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.56 / $1,204.66 / $3,480.66	Professional		$428.56	$1,204.66	$3,480.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $627.41 / $737.95 / $4,145.60	Professional		$627.41	$737.95	$4,145.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.41 / $963.73 / $1,252.84	Professional		$435.41	$963.73	$1,252.84
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 $906.65 / $1,217.19 / $2,744.86	Professional		$906.65	$1,217.19	$2,744.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $363.04 / $546.70 / $1,404.89	Professional		$363.04	$546.70	$1,404.89