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 $281.58 / $281.58 / $281.74	Professional		$281.58	$281.58	$281.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.93 / $357.78 / $357.78	Professional		$273.93	$357.78	$357.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $439.74 / $4,334.00	Professional		$382.19	$439.74	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.83 / $343.46 / $400.71	Professional		$314.83	$343.46	$400.71
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 $291.94 / $357.78 / $457.02	Professional		$291.94	$357.78	$457.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $261.17 / $482.67	Professional		$29.27	$261.17	$482.67