Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.50 / $988.00 / $2,898.00	Facility		$511.50	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.43 / $493.82 / $812.38	Professional		$426.43	$493.82	$812.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.73 / $705.55 / $846.66	Professional		$575.73	$705.55	$846.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $728.48 / $797.24 / $1,715.00	Professional		$728.48	$797.24	$1,715.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.61 / $638.19 / $733.77	Professional		$561.61	$638.19	$733.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.90 / $705.55 / $874.56	Professional		$541.90	$705.55	$874.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $452.09 / $749.64 / $4,035.20	Professional		$452.09	$749.64	$4,035.20