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 $430.51 / $430.51 / $430.51	Professional		$430.51	$430.51	$430.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.03 / $528.09 / $633.71	Professional		$413.03	$528.09	$633.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $567.30 / $620.86 / $733.00	Professional		$567.30	$620.86	$733.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.72 / $506.96 / $591.46	Professional		$464.72	$506.96	$591.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.62 / $528.09 / $665.97	Professional		$411.62	$528.09	$665.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.38 / $1,500.00 / $3,725.00	Professional		$383.38	$1,500.00	$3,725.00