Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.95 / $2,747.00 / $3,883.00	Facility		$235.95	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $324.68 / $634.04	Professional		$271.75	$324.68	$634.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.29 / $495.45 / $594.54	Professional		$404.29	$495.45	$594.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $497.46 / $573.99 / $3,935.00	Professional		$497.46	$573.99	$3,935.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.64 / $436.00 / $495.45	Professional		$354.64	$436.00	$495.45
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 $427.67 / $495.45 / $635.64	Professional		$427.67	$495.45	$635.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $358.11 / $2,000.00 / $5,304.00	Professional		$358.11	$2,000.00	$5,304.00