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 $408.51 / $408.51 / $408.51	Professional		$408.51	$408.51	$408.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.21 / $588.83 / $706.59	Professional		$452.21	$588.83	$706.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $606.04 / $663.25 / $783.05	Professional		$606.04	$663.25	$783.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.16 / $565.27 / $659.48	Professional		$518.16	$565.27	$659.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.55 / $588.83 / $729.32	Professional		$443.55	$588.83	$729.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $466.94 / $1,500.00 / $3,725.00	Professional		$466.94	$1,500.00	$3,725.00