Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.40 / $2,747.00 / $2,898.00	Facility		$598.40	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.27 / $326.41 / $619.60	Professional		$195.27	$326.41	$619.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.41 / $474.76 / $569.72	Professional		$387.41	$474.76	$569.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $339.81 / $401.82 / $600.08	Professional		$339.81	$401.82	$600.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.36 / $379.81 / $474.76	Professional		$240.36	$379.81	$474.76
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 $387.41 / $474.76 / $594.41	Professional		$387.41	$474.76	$594.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $258.95 / $455.19	Professional		$65.61	$258.95	$455.19