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 $300.11 / $318.79 / $318.79	Professional		$300.11	$318.79	$318.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.26 / $486.84 / $584.21	Professional		$397.26	$486.84	$584.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $495.40 / $556.59 / $2,077.00	Professional		$495.40	$556.59	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.89 / $448.74 / $506.31	Professional		$394.89	$448.74	$506.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.37 / $486.84 / $586.22	Professional		$339.37	$486.84	$586.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $398.36 / $509.80	Professional		$63.72	$398.36	$509.80