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 $250.36 / $333.92 / $359.85	Professional		$250.36	$333.92	$359.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.20 / $339.41 / $1,059.05	Professional		$292.20	$339.41	$1,059.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $388.89 / $436.93 / $526.15	Professional		$388.89	$436.93	$526.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.73 / $320.44 / $373.84	Professional		$293.73	$320.44	$373.84
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 $272.37 / $333.79 / $491.89	Professional		$272.37	$333.79	$491.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $223.01 / $367.24	Professional		$148.10	$223.01	$367.24