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 $268.31 / $346.55 / $457.61	Professional		$268.31	$346.55	$457.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.63 / $812.63 / $812.63	Facility		$812.63	$812.63	$812.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.37 / $457.33 / $958.59	Professional		$326.37	$457.33	$958.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $457.97 / $541.54 / $691.48	Professional		$457.97	$541.54	$691.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.03 / $457.33 / $627.70	Professional		$328.03	$457.33	$627.70
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 $383.60 / $555.99 / $700.29	Professional		$383.60	$555.99	$700.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $364.12 / $602.25	Professional		$75.87	$364.12	$602.25