Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.50 / $2,747.00 / $3,883.00	Facility		$371.50	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.71 / $280.07 / $540.07	Professional		$227.71	$280.07	$540.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.68 / $422.40 / $506.88	Professional		$344.68	$422.40	$506.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $430.64 / $486.62 / $3,935.00	Professional		$430.64	$486.62	$3,935.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.94 / $371.71 / $422.40	Professional		$298.94	$371.71	$422.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.68 / $422.40 / $867.44	Professional		$344.68	$422.40	$867.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $308.58 / $2,000.00 / $5,304.00	Professional		$308.58	$2,000.00	$5,304.00