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 $354.39 / $405.76 / $734.49	Professional		$354.39	$405.76	$734.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.45 / $570.16 / $684.20	Professional		$460.45	$570.16	$684.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $583.58 / $638.66 / $789.56	Professional		$583.58	$638.66	$789.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.01 / $510.24 / $592.97	Professional		$449.01	$510.24	$592.97
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 $430.49 / $570.16 / $697.95	Professional		$430.49	$570.16	$697.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $480.30 / $600.54	Professional		$75.06	$480.30	$600.54