Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.00 / $1,084.59 / $1,392.00	Facility		$957.00	$1,084.59	$1,392.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.36 / $849.20 / $1,593.02	Professional		$318.36	$849.20	$1,593.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $1,392.00 / $1,392.00	Professional		$1,392.00	$1,392.00	$1,392.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $743.12 / $928.90 / $1,214.66	Professional		$743.12	$928.90	$1,214.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $1,392.00 / $1,624.00	Professional		$1,276.00	$1,392.00	$1,624.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,392.00 / $1,740.00	Professional		$1,160.00	$1,392.00	$1,740.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $871.47 / $1,368.80 / $2,088.00	Professional		$871.47	$1,368.80	$2,088.00