Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $988.00 / $2,898.00	Facility		$517.42	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $286.87 / $286.87	Professional		$256.92	$286.87	$286.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.34 / $485.06 / $582.08	Professional		$374.34	$485.06	$582.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $484.57 / $544.42 / $2,077.00	Professional		$484.57	$544.42	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.39 / $428.85 / $504.47	Professional		$377.39	$428.85	$504.47
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 $351.37 / $485.06 / $575.79	Professional		$351.37	$485.06	$575.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $366.66 / $505.20	Professional		$63.15	$366.66	$505.20