Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,747.00 / $2,898.00	Facility		$494.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $253.83 / $253.83	Professional		$224.78	$253.83	$253.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $397.19 / $397.19	Professional		$288.17	$397.19	$397.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $420.05 / $483.31 / $2,342.00	Professional		$420.05	$483.31	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.53 / $381.30 / $444.85	Professional		$349.53	$381.30	$444.85
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 $328.63 / $397.19 / $480.06	Professional		$328.63	$397.19	$480.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $352.03 / $459.21	Professional		$29.27	$352.03	$459.21