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 $216.21 / $216.21 / $217.51	Professional		$216.21	$216.21	$217.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $330.89 / $397.07	Professional		$270.00	$330.89	$397.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $334.52 / $375.84 / $2,077.00	Professional		$334.52	$375.84	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $317.64 / $367.99	Professional		$289.14	$317.64	$367.99
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 $240.07 / $329.66 / $391.56	Professional		$240.07	$329.66	$391.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $275.89 / $344.24	Professional		$43.03	$275.89	$344.24