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 $427.58 / $434.63 / $434.63	Professional		$427.58	$434.63	$434.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.87 / $531.53 / $531.53	Professional		$418.87	$531.53	$531.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $619.12 / $695.60 / $820.81	Professional		$619.12	$695.60	$820.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $510.26 / $595.30	Professional		$467.74	$510.26	$595.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.72 / $531.53 / $678.69	Professional		$433.72	$531.53	$678.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $377.44 / $663.26	Professional		$29.27	$377.44	$663.26