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 $253.51 / $327.27 / $427.71	Professional		$253.51	$327.27	$427.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.12 / $419.17 / $964.01	Professional		$272.12	$419.17	$964.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $453.86 / $533.79 / $638.66	Professional		$453.86	$533.79	$638.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $439.18 / $602.79	Professional		$316.64	$439.18	$602.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.54 / $538.21 / $820.23	Professional		$368.54	$538.21	$820.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $355.92 / $601.97	Professional		$75.84	$355.92	$601.97