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 $206.54 / $213.17 / $1,928.01	Professional		$206.54	$213.17	$1,928.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $1,881.84 / $2,416.80	Professional		$236.25	$1,881.84	$2,416.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $293.36 / $346.90 / $3,133.00	Professional		$293.36	$346.90	$3,133.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.81 / $2,126.78 / $2,706.82	Professional		$182.81	$2,126.78	$2,706.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,972.11 / $2,416.80 / $3,306.38	Professional		$1,972.11	$2,416.80	$3,306.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $225.68 / $2,847.16	Professional		$149.86	$225.68	$2,847.16