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 $410.56 / $410.56 / $410.56	Professional		$410.56	$410.56	$410.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.92 / $550.78 / $660.93	Professional		$422.92	$550.78	$660.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $567.48 / $621.04 / $733.22	Professional		$567.48	$621.04	$733.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.68 / $528.74 / $616.87	Professional		$484.68	$528.74	$616.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.95 / $550.78 / $681.05	Professional		$422.95	$550.78	$681.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $414.76 / $1,500.00 / $3,725.00	Professional		$414.76	$1,500.00	$3,725.00