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 $158.10 / $507.11 / $3,762.82	Professional		$158.10	$507.11	$3,762.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $2,805.61 / $3,366.74	Professional		$260.50	$2,805.61	$3,366.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.82 / $307.27 / $345.88	Professional		$263.82	$307.27	$345.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.35 / $2,379.16 / $2,805.61	Professional		$357.35	$2,379.16	$2,805.61
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 $253.74 / $2,775.99 / $3,233.34	Professional		$253.74	$2,775.99	$3,233.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $368.54 / $3,329.44	Professional		$175.21	$368.54	$3,329.44