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 $146.93 / $266.37 / $3,912.10	Professional		$146.93	$266.37	$3,912.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.73 / $3,452.44 / $3,530.59	Professional		$203.73	$3,452.44	$3,530.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $285.11 / $339.14 / $4,562.14	Professional		$285.11	$339.14	$4,562.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.30 / $3,106.92 / $3,954.26	Professional		$188.30	$3,106.92	$3,954.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,880.96 / $4,019.80 / $5,861.94	Professional		$2,880.96	$4,019.80	$5,861.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,229.69 / $4,277.70	Professional		$29.27	$2,229.69	$4,277.70