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 $495.09 / $495.09 / $822.75	Professional		$495.09	$495.09	$822.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.22 / $644.14 / $772.97	Professional		$494.22	$644.14	$772.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $662.55 / $725.09 / $896.39	Professional		$662.55	$725.09	$896.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.84 / $618.37 / $721.43	Professional		$566.84	$618.37	$721.43
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 $491.67 / $644.14 / $791.03	Professional		$491.67	$644.14	$791.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $464.26 / $1,500.00 / $3,725.00	Professional		$464.26	$1,500.00	$3,725.00