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 $183.87 / $227.19 / $397.13	Professional		$183.87	$227.19	$397.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.31 / $306.75 / $368.10	Professional		$250.31	$306.75	$368.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $314.93 / $353.84 / $2,077.00	Professional		$314.93	$353.84	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.94 / $294.48 / $343.56	Professional		$269.94	$294.48	$343.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.09 / $306.12 / $363.24	Professional		$223.09	$306.12	$363.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $263.91 / $335.37	Professional		$39.61	$263.91	$335.37