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 $411.22 / $411.22 / $411.22	Professional		$411.22	$411.22	$411.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.94 / $515.41 / $696.73	Professional		$463.94	$515.41	$696.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $513.42 / $604.03 / $668.18	Professional		$513.42	$604.03	$668.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.27 / $445.38 / $519.61	Professional		$408.27	$445.38	$519.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.57 / $502.28 / $629.29	Professional		$378.57	$502.28	$629.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $4,824.31 / $13,230.00	Professional		$283.06	$4,824.31	$13,230.00