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 $487.37 / $527.52 / $564.64	Professional		$487.37	$527.52	$564.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.70 / $825.13 / $990.15	Professional		$672.70	$825.13	$990.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $842.66 / $946.75 / $3,857.00	Professional		$842.66	$946.75	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.70 / $750.80 / $858.13	Professional		$660.70	$750.80	$858.13
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 $624.01 / $825.13 / $1,008.17	Professional		$624.01	$825.13	$1,008.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $675.81 / $867.15	Professional		$108.39	$675.81	$867.15