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 $449.43 / $449.58 / $479.54	Professional		$449.43	$449.58	$479.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.09 / $692.51 / $831.02	Professional		$565.09	$692.51	$831.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $714.23 / $781.64 / $966.31	Professional		$714.23	$781.64	$966.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $573.42 / $651.63 / $729.82	Professional		$573.42	$651.63	$729.82
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 $530.59 / $692.51 / $855.99	Professional		$530.59	$692.51	$855.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $568.86 / $734.99	Professional		$91.87	$568.86	$734.99