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 $401.16 / $913.00 / $1,233.03	Professional		$401.16	$913.00	$1,233.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.17 / $433.06 / $519.67	Professional		$374.17	$433.06	$519.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,101.46 / $1,237.52 / $2,540.00	Professional		$1,101.46	$1,237.52	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.35 / $381.10 / $433.06	Professional		$337.35	$381.10	$433.06
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 $320.39 / $433.06 / $1,242.08	Professional		$320.39	$433.06	$1,242.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $315.86 / $1,610.00 / $4,023.00	Professional		$315.86	$1,610.00	$4,023.00