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 $225.28 / $344.13 / $707.71	Professional		$225.28	$344.13	$707.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.80 / $542.64 / $651.16	Professional		$422.80	$542.64	$651.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $424.95 / $489.48 / $675.05	Professional		$424.95	$489.48	$675.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.17 / $460.16 / $542.64	Professional		$304.17	$460.16	$542.64
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 $430.55 / $541.16 / $707.19	Professional		$430.55	$541.16	$707.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $335.37 / $1,402.00 / $3,725.00	Professional		$335.37	$1,402.00	$3,725.00