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 $328.77 / $328.77 / $351.77	Professional		$328.77	$328.77	$351.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.49 / $527.39 / $632.87	Professional		$422.49	$527.39	$632.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $539.21 / $590.10 / $696.69	Professional		$539.21	$590.10	$696.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.07 / $484.18 / $548.48	Professional		$426.07	$484.18	$548.48
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 $376.75 / $527.39 / $637.08	Professional		$376.75	$527.39	$637.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $416.97 / $554.88	Professional		$69.36	$416.97	$554.88