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 $311.51 / $311.51 / $334.08	Professional		$311.51	$311.51	$334.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.91 / $542.36 / $650.84	Professional		$417.91	$542.36	$650.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $544.47 / $595.86 / $703.49	Professional		$544.47	$595.86	$703.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.72 / $491.73 / $564.05	Professional		$432.72	$491.73	$564.05
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 $377.58 / $541.16 / $645.35	Professional		$377.58	$541.16	$645.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $421.29 / $564.71	Professional		$70.59	$421.29	$564.71