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 $484.65 / $484.65 / $526.75	Professional		$484.65	$484.65	$526.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.54 / $745.00 / $894.00	Professional		$594.54	$745.00	$894.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $762.76 / $834.75 / $985.53	Professional		$762.76	$834.75	$985.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.23 / $672.99 / $774.80	Professional		$592.23	$672.99	$774.80
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 $559.53 / $745.00 / $906.96	Professional		$559.53	$745.00	$906.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $591.13 / $784.92	Professional		$98.12	$591.13	$784.92