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 $343.67 / $384.10 / $384.10	Professional		$343.67	$384.10	$384.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.34 / $616.14 / $739.37	Professional		$532.34	$616.14	$739.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $645.30 / $725.03 / $2,540.00	Professional		$645.30	$725.03	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.64 / $542.20 / $640.78	Professional		$479.64	$542.20	$640.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.95 / $592.94 / $785.66	Professional		$445.95	$592.94	$785.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $477.05 / $664.08	Professional		$83.01	$477.05	$664.08