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 $543.04 / $571.24 / $571.24	Professional		$543.04	$571.24	$571.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.35 / $639.04 / $656.08	Professional		$524.35	$639.04	$656.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $766.36 / $861.03 / $1,016.02	Professional		$766.36	$861.03	$1,016.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.36 / $613.49 / $715.74	Professional		$562.36	$613.49	$715.74
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 $521.46 / $647.72 / $840.89	Professional		$521.46	$647.72	$840.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $576.38 / $936.36	Professional		$29.27	$576.38	$936.36