Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $329.48 / $582.99	Professional		$289.25	$329.48	$582.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.21 / $890.34 / $1,068.41	Professional		$706.21	$890.34	$1,068.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $516.78 / $595.25 / $1,050.02	Professional		$516.78	$595.25	$1,050.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.17 / $755.01 / $890.34	Professional		$361.17	$755.01	$890.34
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 $651.66 / $890.34 / $1,073.59	Professional		$651.66	$890.34	$1,073.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $292.83 / $542.42 / $985.60	Professional		$292.83	$542.42	$985.60