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 $253.93 / $305.88 / $540.53	Professional		$253.93	$305.88	$540.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.15 / $461.80 / $554.16	Professional		$368.15	$461.80	$554.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $468.10 / $525.91 / $2,077.00	Professional		$468.10	$525.91	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.14 / $417.20 / $480.27	Professional		$367.14	$417.20	$480.27
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 $338.96 / $458.74 / $554.88	Professional		$338.96	$458.74	$554.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $375.97 / $481.70	Professional		$60.21	$375.97	$481.70