Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $314.74 / $563.45	Professional		$255.08	$314.74	$563.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.07 / $459.65 / $551.58	Professional		$375.07	$459.65	$551.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $464.71 / $522.12 / $2,077.00	Professional		$464.71	$522.12	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $434.10 / $486.19	Professional		$382.01	$434.10	$486.19
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 $334.50 / $455.68 / $547.40	Professional		$334.50	$455.68	$547.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $382.42 / $478.22	Professional		$59.78	$382.42	$478.22