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 $386.84 / $432.32 / $643.25	Professional		$386.84	$432.32	$643.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.12 / $500.14 / $600.16	Professional		$432.12	$500.14	$600.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $518.47 / $609.96 / $6,501.00	Professional		$518.47	$609.96	$6,501.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.22 / $455.15 / $531.01	Professional		$417.22	$455.15	$531.01
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 $362.78 / $481.43 / $504.53	Professional		$362.78	$481.43	$504.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $428.38 / $533.53	Professional		$66.69	$428.38	$533.53