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 $62.39 / $1,117.89 / $2,358.56	Professional		$62.39	$1,117.89	$2,358.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.65 / $1,742.65 / $2,091.17	Professional		$1,505.65	$1,742.65	$2,091.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $140.51 / $4,289.00	Professional		$118.83	$140.51	$4,289.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $1,394.12 / $1,742.65	Professional		$47.86	$1,394.12	$1,742.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,280.78 / $1,651.83 / $2,455.98	Professional		$1,280.78	$1,651.83	$2,455.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $257.48 / $2,043.71	Professional		$47.52	$257.48	$2,043.71