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 $346.55 / $419.34 / $795.74	Professional		$346.55	$419.34	$795.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.28 / $607.96 / $729.56	Professional		$525.28	$607.96	$729.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $609.64 / $684.95 / $2,540.00	Professional		$609.64	$684.95	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.01 / $583.64 / $680.92	Professional		$535.01	$583.64	$680.92
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 $400.18 / $582.95 / $610.92	Professional		$400.18	$582.95	$610.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $471.06 / $676.24	Professional		$29.27	$471.06	$676.24