Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.00 / $2,747.00 / $5,484.00	Facility		$962.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $416.82 / $536.63	Professional		$330.50	$416.82	$536.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.16 / $666.53 / $681.73	Professional		$510.16	$666.53	$681.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $613.14 / $741.70 / $840.34	Professional		$613.14	$741.70	$840.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.43 / $599.91 / $763.53	Professional		$438.43	$599.91	$763.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.54 / $768.67 / $978.98	Professional		$672.54	$768.67	$978.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $513.96 / $3,100.00 / $8,000.00	Professional		$513.96	$3,100.00	$8,000.00