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 $622.51 / $665.39 / $1,136.10	Professional		$622.51	$665.39	$1,136.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.42 / $907.71 / $907.71	Professional		$682.42	$907.71	$907.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $968.63 / $1,139.56 / $1,284.17	Professional		$968.63	$1,139.56	$1,284.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.79 / $871.40 / $1,016.64	Professional		$798.79	$871.40	$1,016.64
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 $740.69 / $907.71 / $1,101.08	Professional		$740.69	$907.71	$1,101.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $805.27 / $904.17	Professional		$113.02	$805.27	$904.17