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 $233.10 / $443.54 / $2,817.29	Professional		$233.10	$443.54	$2,817.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.70 / $633.37 / $5,542.20	Professional		$296.70	$633.37	$5,542.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $370.29 / $435.52 / $919.73	Professional		$370.29	$435.52	$919.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $2,447.62 / $3,181.91	Professional		$258.63	$2,447.62	$3,181.91
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 $1,152.75 / $3,059.53 / $4,923.47	Professional		$1,152.75	$3,059.53	$4,923.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $264.67 / $471.26 / $3,740.61	Professional		$264.67	$471.26	$3,740.61