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 $200.78 / $230.81 / $419.91	Professional		$200.78	$230.81	$419.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.73 / $324.43 / $389.31	Professional		$264.73	$324.43	$389.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $330.78 / $371.64 / $2,077.00	Professional		$330.78	$371.64	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.45 / $311.45 / $360.75	Professional		$283.45	$311.45	$360.75
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 $230.50 / $324.43 / $383.00	Professional		$230.50	$324.43	$383.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $274.64 / $340.39	Professional		$42.55	$274.64	$340.39