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 $130.28 / $676.00 / $1,085.01	Professional		$130.28	$676.00	$1,085.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $943.57 / $1,582.74	Professional		$161.91	$943.57	$1,582.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.80 / $247.29 / $1,505.36	Professional		$204.80	$247.29	$1,505.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.30 / $800.58 / $1,040.75	Professional		$142.30	$800.58	$1,040.75
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 $811.75 / $1,000.73 / $1,513.04	Professional		$811.75	$1,000.73	$1,513.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $1,067.10 / $4,023.00	Professional		$146.38	$1,067.10	$4,023.00