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 $166.28 / $3,960.44 / $5,360.83	Professional		$166.28	$3,960.44	$5,360.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $3,774.39 / $4,080.91	Professional		$193.97	$3,774.39	$4,080.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $256.25 / $303.02 / $5,117.34	Professional		$256.25	$303.02	$5,117.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $3,321.46 / $4,227.31	Professional		$178.40	$3,321.46	$4,227.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,079.90 / $3,774.39 / $5,363.52	Professional		$3,079.90	$3,774.39	$5,363.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.82 / $572.11 / $4,541.10	Professional		$185.82	$572.11	$4,541.10