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 $201.59 / $268.52 / $368.36	Professional		$201.59	$268.52	$368.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.96 / $377.42 / $830.55	Professional		$250.96	$377.42	$830.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $346.39 / $412.09 / $530.38	Professional		$346.39	$412.09	$530.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $377.04 / $517.51	Professional		$248.00	$377.04	$517.51
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 $299.70 / $459.56 / $583.29	Professional		$299.70	$459.56	$583.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $299.47 / $498.89	Professional		$62.85	$299.47	$498.89