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 $383.26 / $383.26 / $383.26	Professional		$383.26	$383.26	$383.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.47 / $543.10 / $651.72	Professional		$415.47	$543.10	$651.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $556.87 / $609.42 / $719.51	Professional		$556.87	$609.42	$719.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.93 / $521.38 / $608.27	Professional		$477.93	$521.38	$608.27
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 $408.77 / $543.10 / $659.73	Professional		$408.77	$543.10	$659.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $397.29 / $573.05	Professional		$29.27	$397.29	$573.05