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 $457.19 / $457.19 / $457.19	Professional		$457.19	$457.19	$457.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.48 / $611.88 / $734.25	Professional		$470.48	$611.88	$734.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $631.33 / $690.92 / $815.72	Professional		$631.33	$690.92	$815.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.45 / $587.40 / $685.30	Professional		$538.45	$587.40	$685.30
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 $469.52 / $611.88 / $755.09	Professional		$469.52	$611.88	$755.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $469.78 / $649.67	Professional		$29.27	$469.78	$649.67