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 $411.60 / $446.31 / $760.45	Professional		$411.60	$446.31	$760.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.38 / $589.04 / $706.86	Professional		$475.38	$589.04	$706.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $599.51 / $656.09 / $811.10	Professional		$599.51	$656.09	$811.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.80 / $538.41 / $612.61	Professional		$473.80	$538.41	$612.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.21 / $589.04 / $711.41	Professional		$438.21	$589.04	$711.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $474.02 / $616.92	Professional		$77.12	$474.02	$616.92