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 $575.59 / $605.25 / $605.25	Professional		$575.59	$605.25	$605.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.80 / $676.96 / $695.14	Professional		$555.80	$676.96	$695.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $808.08 / $929.77 / $6,874.20	Professional		$808.08	$929.77	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.73 / $649.88 / $758.20	Professional		$595.73	$649.88	$758.20
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 $552.40 / $687.00 / $891.81	Professional		$552.40	$687.00	$891.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $610.37 / $984.25	Professional		$29.27	$610.37	$984.25