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 $361.65 / $361.65 / $370.23	Professional		$361.65	$361.65	$370.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.16 / $431.90 / $518.28	Professional		$373.16	$431.90	$518.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $443.97 / $498.82 / $2,540.00	Professional		$443.97	$498.82	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.31 / $406.15 / $473.84	Professional		$372.31	$406.15	$473.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.54 / $410.69 / $431.90	Professional		$304.54	$410.69	$431.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $406.91 / $497.39	Professional		$57.11	$406.91	$497.39