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 $252.02 / $252.02 / $270.25	Professional		$252.02	$252.02	$270.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.40 / $469.14 / $562.97	Professional		$362.40	$469.14	$562.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $429.76 / $482.85 / $2,077.00	Professional		$429.76	$482.85	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.23 / $416.18 / $487.90	Professional		$366.23	$416.18	$487.90
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 $313.35 / $464.41 / $556.28	Professional		$313.35	$464.41	$556.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $354.20 / $484.67	Professional		$61.06	$354.20	$484.67