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 $409.00 / $496.18 / $873.72	Professional		$409.00	$496.18	$873.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.77 / $683.54 / $820.25	Professional		$557.77	$683.54	$820.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $706.38 / $773.05 / $955.68	Professional		$706.38	$773.05	$955.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.73 / $621.29 / $710.88	Professional		$546.73	$621.29	$710.88
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 $526.71 / $683.54 / $848.33	Professional		$526.71	$683.54	$848.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $571.35 / $726.90	Professional		$90.86	$571.35	$726.90