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 $403.58 / $430.04 / $430.04	Professional		$403.58	$430.04	$430.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.72 / $692.06 / $830.48	Professional		$564.72	$692.06	$830.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $709.21 / $750.92 / $863.56	Professional		$709.21	$750.92	$863.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.08 / $643.28 / $720.47	Professional		$566.08	$643.28	$720.47
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 $518.96 / $692.06 / $841.04	Professional		$518.96	$692.06	$841.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $559.00 / $729.82	Professional		$91.23	$559.00	$729.82