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 $395.98 / $395.98 / $395.98	Professional		$395.98	$395.98	$395.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.89 / $599.64 / $719.57	Professional		$458.89	$599.64	$719.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $613.16 / $688.92 / $2,077.00	Professional		$613.16	$688.92	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.67 / $575.65 / $671.59	Professional		$527.67	$575.65	$671.59
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 $419.72 / $599.64 / $676.53	Professional		$419.72	$599.64	$676.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $486.80 / $656.02	Professional		$29.27	$486.80	$656.02