Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.75 / $2,707.25 / $3,883.00	Facility		$727.75	$2,707.25	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.25 / $372.00 / $632.88	Professional		$145.25	$372.00	$632.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.77 / $643.19 / $739.71	Professional		$198.77	$643.19	$739.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $242.08 / $299.75 / $1,016.03	Professional		$242.08	$299.75	$1,016.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.49 / $566.01 / $720.37	Professional		$162.49	$566.01	$720.37
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 $643.19 / $643.19 / $1,030.89	Professional		$643.19	$643.19	$1,030.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.43 / $3,831.00 / $5,401.00	Professional		$185.43	$3,831.00	$5,401.00