Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,747.00 / $2,898.00	Facility		$494.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $339.02 / $536.82	Professional		$187.34	$339.02	$536.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.21 / $412.03 / $494.43	Professional		$336.21	$412.03	$494.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $392.08 / $518.45	Professional		$316.64	$392.08	$518.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.58 / $329.62 / $412.03	Professional		$223.58	$329.62	$412.03
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 $329.12 / $412.03 / $768.22	Professional		$329.12	$412.03	$768.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $242.87 / $393.26	Professional		$56.69	$242.87	$393.26