Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $2,747.00 / $4,456.00	Facility		$439.50	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.98 / $871.50 / $3,208.00	Professional		$588.98	$871.50	$3,208.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.91 / $997.44 / $1,196.93	Professional		$813.91	$997.44	$1,196.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,038.33 / $1,221.24 / $5,879.00	Professional		$1,038.33	$1,221.24	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.20 / $877.75 / $997.44	Professional		$750.20	$877.75	$997.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.91 / $997.44 / $1,987.44	Professional		$813.91	$997.44	$1,987.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $706.83 / $2,575.00 / $6,124.00	Professional		$706.83	$2,575.00	$6,124.00