Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.83 / $600.90 / $2,898.00	Facility		$504.83	$600.90	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.51 / $357.65 / $613.80	Professional		$290.51	$357.65	$613.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.94 / $523.25 / $627.90	Professional		$417.94	$523.25	$627.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $529.97 / $595.42 / $2,077.00	Professional		$529.97	$595.42	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.35 / $475.40 / $544.17	Professional		$418.35	$475.40	$544.17
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 $385.28 / $523.25 / $628.52	Professional		$385.28	$523.25	$628.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $362.16 / $1,402.00 / $3,725.00	Professional		$362.16	$1,402.00	$3,725.00