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 $269.45 / $366.88 / $490.26	Professional		$269.45	$366.88	$490.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.98 / $480.12 / $1,106.11	Professional		$316.98	$480.12	$1,106.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $478.79 / $563.13 / $661.10	Professional		$478.79	$563.13	$661.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.92 / $504.21 / $670.00	Professional		$356.92	$504.21	$670.00
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 $393.04 / $615.29 / $774.99	Professional		$393.04	$615.29	$774.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $390.71 / $672.38	Professional		$84.71	$390.71	$672.38