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 $259.87 / $259.87 / $1,094.55	Professional		$259.87	$259.87	$1,094.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.61 / $1,518.06 / $1,821.68	Professional		$1,311.61	$1,518.06	$1,821.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $471.58 / $583.92 / $3,162.00	Professional		$471.58	$583.92	$3,162.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $1,214.45 / $1,518.06	Professional		$115.14	$1,214.45	$1,518.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.60 / $1,511.84 / $2,108.69	Professional		$1,111.60	$1,511.84	$2,108.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $198.84 / $1,758.58	Professional		$132.04	$198.84	$1,758.58