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 $330.48 / $330.48 / $380.22	Professional		$330.48	$330.48	$380.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.12 / $453.61 / $544.34	Professional		$348.12	$453.61	$544.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $465.68 / $523.21 / $3,857.00	Professional		$465.68	$523.21	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.18 / $435.47 / $508.05	Professional		$399.18	$435.47	$508.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.91 / $453.61 / $556.22	Professional		$343.91	$453.61	$556.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.10 / $1,500.00 / $3,725.00	Professional		$346.10	$1,500.00	$3,725.00