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 $195.15 / $213.63 / $405.32	Professional		$195.15	$213.63	$405.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $338.04 / $405.65	Professional		$275.83	$338.04	$405.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $342.92 / $385.28 / $2,077.00	Professional		$342.92	$385.28	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.99 / $312.49 / $351.56	Professional		$274.99	$312.49	$351.56
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 $251.67 / $335.77 / $411.81	Professional		$251.67	$335.77	$411.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $284.50 / $352.88	Professional		$44.11	$284.50	$352.88