Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $1,486.00 / $3,883.00	Facility		$743.00	$1,486.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.27 / $445.25 / $870.86	Professional		$314.27	$445.25	$870.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.98 / $672.14 / $806.57	Professional		$524.98	$672.14	$806.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $578.85 / $674.39 / $840.80	Professional		$578.85	$674.39	$840.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.33 / $569.97 / $672.14	Professional		$408.33	$569.97	$672.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.54 / $672.14 / $877.52	Professional		$537.54	$672.14	$877.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $1,958.52 / $5,287.00	Professional		$449.59	$1,958.52	$5,287.00