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 $382.83 / $382.83 / $430.57	Professional		$382.83	$382.83	$430.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.40 / $631.88 / $758.25	Professional		$482.40	$631.88	$758.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $644.27 / $723.85 / $2,077.00	Professional		$644.27	$723.85	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.46 / $568.70 / $657.15	Professional		$500.46	$568.70	$657.15
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 $466.65 / $631.88 / $759.92	Professional		$466.65	$631.88	$759.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $531.84 / $662.99	Professional		$82.87	$531.84	$662.99