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 $226.86 / $226.86 / $246.83	Professional		$226.86	$226.86	$246.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.20 / $424.70 / $509.64	Professional		$323.20	$424.70	$509.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $379.45 / $415.27 / $490.27	Professional		$379.45	$415.27	$490.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.68 / $373.74 / $441.69	Professional		$324.68	$373.74	$441.69
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 $269.51 / $424.70 / $503.43	Professional		$269.51	$424.70	$503.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $293.58 / $1,402.00 / $3,725.00	Professional		$293.58	$1,402.00	$3,725.00