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 $232.16 / $282.43 / $582.75	Professional		$232.16	$282.43	$582.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.08 / $451.75 / $542.10	Professional		$346.08	$451.75	$542.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $437.40 / $491.43 / $2,077.00	Professional		$437.40	$491.43	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.01 / $403.43 / $469.82	Professional		$355.01	$403.43	$469.82
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 $307.17 / $451.75 / $524.01	Professional		$307.17	$451.75	$524.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $351.03 / $462.27	Professional		$57.78	$351.03	$462.27