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 $614.79 / $614.79 / $614.79	Professional		$614.79	$614.79	$614.79
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 $1,160.00 / $1,214.66 / $1,450.00	Professional		$1,160.00	$1,214.66	$1,450.00
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 $986.00 / $1,566.00 / $2,610.00	Professional		$986.00	$1,566.00	$2,610.00