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 $1,064.20 / $1,107.35 / $1,107.35	Professional		$1,064.20	$1,107.35	$1,107.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.73 / $1,401.88 / $1,401.88	Professional		$1,024.73	$1,401.88	$1,401.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,501.11 / $1,686.54 / $1,990.12	Professional		$1,501.11	$1,686.54	$1,990.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.65 / $1,345.80 / $1,570.10	Professional		$1,233.65	$1,345.80	$1,570.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.93 / $1,401.88 / $1,825.11	Professional		$1,143.93	$1,401.88	$1,825.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,108.57 / $1,673.79	Professional		$29.27	$1,108.57	$1,673.79