Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.20 / $448.50 / $896.02	Professional		$373.20	$448.50	$896.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.34 / $706.55 / $706.55	Professional		$496.34	$706.55	$706.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $738.92 / $865.98 / $4,116.00	Professional		$738.92	$865.98	$4,116.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.76 / $678.29 / $791.34	Professional		$621.76	$678.29	$791.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.54 / $706.55 / $813.30	Professional		$576.54	$706.55	$813.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $1,566.00 / $3,725.00	Professional		$655.00	$1,566.00	$3,725.00