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 $385.05 / $509.59 / $509.59	Professional		$385.05	$509.59	$509.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.38 / $606.36 / $633.44	Professional		$464.38	$606.36	$633.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $615.70 / $691.75 / $816.27	Professional		$615.70	$691.75	$816.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.60 / $582.11 / $679.13	Professional		$533.60	$582.11	$679.13
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 $494.79 / $606.36 / $807.05	Professional		$494.79	$606.36	$807.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $445.13 / $791.11	Professional		$29.27	$445.13	$791.11