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 $195.56 / $214.93 / $416.13	Professional		$195.56	$214.93	$416.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.45 / $321.64 / $385.97	Professional		$262.45	$321.64	$385.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $335.61 / $377.06 / $2,077.00	Professional		$335.61	$377.06	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.04 / $308.77 / $360.23	Professional		$283.04	$308.77	$360.23
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 $236.09 / $321.38 / $384.23	Professional		$236.09	$321.38	$384.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $279.06 / $342.66	Professional		$41.84	$279.06	$342.66