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 $181.99 / $244.21 / $970.60	Professional		$181.99	$244.21	$970.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.37 / $935.53 / $979.79	Professional		$217.37	$935.53	$979.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $262.23 / $320.52 / $1,307.91	Professional		$262.23	$320.52	$1,307.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.76 / $862.21 / $1,097.35	Professional		$173.76	$862.21	$1,097.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $891.36 / $979.79 / $1,275.34	Professional		$891.36	$979.79	$1,275.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $212.44 / $1,135.09	Professional		$143.00	$212.44	$1,135.09