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 $413.35 / $450.00 / $457.38	Professional		$413.35	$450.00	$457.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.53 / $674.94 / $809.93	Professional		$538.53	$674.94	$809.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $691.87 / $777.34 / $2,077.00	Professional		$691.87	$777.34	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.67 / $597.36 / $701.94	Professional		$525.67	$597.36	$701.94
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 $505.25 / $674.94 / $819.39	Professional		$505.25	$674.94	$819.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $551.40 / $711.99	Professional		$89.00	$551.40	$711.99