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 $278.39 / $312.19 / $390.96	Professional		$278.39	$312.19	$390.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $420.99 / $805.04	Professional		$318.44	$420.99	$805.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $441.86 / $496.45 / $597.82	Professional		$441.86	$496.45	$597.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.47 / $404.15 / $471.51	Professional		$370.47	$404.15	$471.51
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 $309.20 / $420.99 / $721.36	Professional		$309.20	$420.99	$721.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $404.97 / $467.29	Professional		$56.84	$404.97	$467.29