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 $139.37 / $231.52 / $675.91	Professional		$139.37	$231.52	$675.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.48 / $511.88 / $614.25	Professional		$407.48	$511.88	$614.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $231.45 / $269.64 / $661.66	Professional		$231.45	$269.64	$661.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $434.07 / $511.88	Professional		$162.22	$434.07	$511.88
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 $417.69 / $511.88 / $691.35	Professional		$417.69	$511.88	$691.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $195.96 / $574.23	Professional		$72.34	$195.96	$574.23