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 $60.31 / $344.42 / $711.03	Professional		$60.31	$344.42	$711.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $483.18 / $1,106.86	Professional		$76.67	$483.18	$1,106.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $123.66 / $1,039.51	Professional		$102.41	$123.66	$1,039.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $672.50 / $874.25	Professional		$72.14	$672.50	$874.25
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 $588.69 / $840.63 / $1,164.29	Professional		$588.69	$840.63	$1,164.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $464.69 / $985.76	Professional		$59.66	$464.69	$985.76