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 $250.28 / $287.81 / $553.55	Professional		$250.28	$287.81	$553.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.77 / $425.63 / $510.75	Professional		$341.77	$425.63	$510.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $431.56 / $472.29 / $583.88	Professional		$431.56	$472.29	$583.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.66 / $389.39 / $442.65	Professional		$342.66	$389.39	$442.65
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 $311.50 / $422.55 / $509.49	Professional		$311.50	$422.55	$509.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $333.56 / $444.10	Professional		$55.51	$333.56	$444.10