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 $61.96 / $74.84 / $1,067.82	Professional		$61.96	$74.84	$1,067.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $1,033.73 / $1,128.58	Professional		$70.77	$1,033.73	$1,128.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $121.79 / $1,482.41	Professional		$105.74	$121.79	$1,482.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $993.15 / $1,264.00	Professional		$53.66	$993.15	$1,264.00
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 $920.92 / $1,189.89 / $1,734.66	Professional		$920.92	$1,189.89	$1,734.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $185.03 / $1,480.24	Professional		$55.92	$185.03	$1,480.24