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 $502.01 / $527.44 / $527.44	Professional		$502.01	$527.44	$527.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.68 / $590.74 / $605.27	Professional		$484.68	$590.74	$605.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $704.07 / $810.10 / $4,334.00	Professional		$704.07	$810.10	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.85 / $567.11 / $661.63	Professional		$519.85	$567.11	$661.63
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 $482.04 / $598.75 / $777.47	Professional		$482.04	$598.75	$777.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $530.24 / $857.37	Professional		$29.27	$530.24	$857.37