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 $327.97 / $357.92 / $357.92	Professional		$327.97	$357.92	$357.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.31 / $583.29 / $699.95	Professional		$468.31	$583.29	$699.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $597.20 / $670.97 / $2,077.00	Professional		$597.20	$670.97	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.83 / $527.08 / $606.62	Professional		$463.83	$527.08	$606.62
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 $436.28 / $583.29 / $708.12	Professional		$436.28	$583.29	$708.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $462.12 / $614.54	Professional		$76.81	$462.12	$614.54