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 $880.74 / $892.83 / $892.83	Professional		$880.74	$892.83	$892.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.68 / $1,078.21 / $1,078.21	Professional		$865.68	$1,078.21	$1,078.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,252.23 / $1,406.92 / $1,660.17	Professional		$1,252.23	$1,406.92	$1,660.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $948.83 / $1,035.08 / $1,207.59	Professional		$948.83	$1,035.08	$1,207.59
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 $879.82 / $1,078.21 / $1,398.26	Professional		$879.82	$1,078.21	$1,398.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $772.00 / $1,404.41	Professional		$29.27	$772.00	$1,404.41