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 $394.34 / $427.12 / $790.80	Professional		$394.34	$427.12	$790.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.52 / $315.43 / $378.51	Professional		$272.52	$315.43	$378.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $603.02 / $677.52 / $2,540.00	Professional		$603.02	$677.52	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.87 / $277.57 / $315.43	Professional		$244.87	$277.57	$315.43
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 $272.52 / $315.43 / $620.47	Professional		$272.52	$315.43	$620.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $458.95 / $1,658.00 / $3,956.00	Professional		$458.95	$1,658.00	$3,956.00