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 $310.26 / $310.26 / $332.40	Professional		$310.26	$310.26	$332.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.42 / $514.48 / $617.37	Professional		$392.42	$514.48	$617.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $514.02 / $577.52 / $2,077.00	Professional		$514.02	$577.52	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.86 / $457.80 / $535.04	Professional		$402.86	$457.80	$535.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.54 / $512.80 / $614.73	Professional		$339.54	$512.80	$614.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $392.28 / $533.74	Professional		$67.23	$392.28	$533.74