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 $60.67 / $130.28 / $767.17	Professional		$60.67	$130.28	$767.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $702.59 / $1,174.41	Professional		$75.41	$702.59	$1,174.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $118.06 / $1,169.56	Professional		$97.78	$118.06	$1,169.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $633.15 / $806.96	Professional		$68.75	$633.15	$806.96
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 $633.15 / $775.93 / $1,148.40	Professional		$633.15	$775.93	$1,148.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $2,594.00 / $4,023.00	Professional		$75.88	$2,594.00	$4,023.00