Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.00 / $988.00 / $2,898.00	Facility		$708.00	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $317.60 / $507.81	Professional		$170.83	$317.60	$507.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.93 / $405.55 / $486.66	Professional		$330.93	$405.55	$486.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $368.65 / $510.20	Professional		$311.75	$368.65	$510.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.92 / $324.44 / $405.55	Professional		$219.92	$324.44	$405.55
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 $319.26 / $405.55 / $755.84	Professional		$319.26	$405.55	$755.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $243.43 / $387.00	Professional		$55.78	$243.43	$387.00