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 $540.17 / $540.17 / $599.46	Professional		$540.17	$540.17	$599.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.01 / $682.89 / $819.47	Professional		$590.01	$682.89	$819.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $714.02 / $781.41 / $946.62	Professional		$714.02	$781.41	$946.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.29 / $600.94 / $710.20	Professional		$543.29	$600.94	$710.20
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 $495.81 / $657.85 / $871.32	Professional		$495.81	$657.85	$871.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $539.62 / $734.77	Professional		$91.85	$539.62	$734.77