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 $401.04 / $447.30 / $652.90	Professional		$401.04	$447.30	$652.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.47 / $511.60 / $613.91	Professional		$417.47	$511.60	$613.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $528.75 / $594.07 / $2,077.00	Professional		$528.75	$594.07	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.12 / $491.14 / $567.78	Professional		$446.12	$491.14	$567.78
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 $392.86 / $511.60 / $631.74	Professional		$392.86	$511.60	$631.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $458.06 / $544.12	Professional		$68.01	$458.06	$544.12