Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $864.50 / $2,898.00	Facility		$517.42	$864.50	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $245.94 / $264.83	Professional		$220.46	$245.94	$264.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.95 / $403.25 / $483.90	Professional		$320.95	$403.25	$483.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $407.68 / $458.04 / $2,077.00	Professional		$407.68	$458.04	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.16 / $366.09 / $419.38	Professional		$322.16	$366.09	$419.38
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 $295.72 / $400.74 / $483.56	Professional		$295.72	$400.74	$483.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $312.98 / $419.52	Professional		$52.44	$312.98	$419.52