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 $633.20 / $633.20 / $633.20	Professional		$633.20	$633.20	$633.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.31 / $886.60 / $1,063.92	Professional		$701.31	$886.60	$1,063.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $952.85 / $1,042.80 / $1,231.14	Professional		$952.85	$1,042.80	$1,231.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.21 / $851.14 / $992.99	Professional		$780.21	$851.14	$992.99
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 $683.95 / $886.60 / $1,069.26	Professional		$683.95	$886.60	$1,069.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $1,500.00 / $3,725.00	Professional		$655.00	$1,500.00	$3,725.00