Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.00 / $1,803.83 / $12,358.92	Facility		$273.00	$1,803.83	$12,358.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $349.20 / $623.10	Professional		$129.65	$349.20	$623.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.08 / $469.90 / $563.88	Professional		$378.08	$469.90	$563.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $275.82 / $607.26	Professional		$233.25	$275.82	$607.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.35 / $398.48 / $469.90	Professional		$165.35	$398.48	$469.90
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 $383.44 / $469.90 / $631.16	Professional		$383.44	$469.90	$631.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $197.49 / $1,350.00 / $3,663.00	Professional		$197.49	$1,350.00	$3,663.00