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 $339.44 / $512.55 / $1,060.57	Professional		$339.44	$512.55	$1,060.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.80 / $811.08 / $973.29	Professional		$631.80	$811.08	$973.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $576.96 / $678.59 / $849.32	Professional		$576.96	$678.59	$849.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.86 / $687.79 / $811.08	Professional		$459.86	$687.79	$811.08
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 $514.87 / $811.08 / $1,036.02	Professional		$514.87	$811.08	$1,036.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $1,402.00 / $3,725.00	Professional		$448.43	$1,402.00	$3,725.00