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 $356.89 / $356.89 / $379.46	Professional		$356.89	$356.89	$379.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.15 / $555.24 / $666.29	Professional		$448.15	$555.24	$666.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $565.97 / $635.89 / $3,857.00	Professional		$565.97	$635.89	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.13 / $509.24 / $577.45	Professional		$448.13	$509.24	$577.45
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 $411.00 / $555.24 / $667.77	Professional		$411.00	$555.24	$667.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $438.72 / $582.42	Professional		$72.80	$438.72	$582.42