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 $301.55 / $384.28 / $474.14	Professional		$301.55	$384.28	$474.14
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 $364.52 / $500.28 / $906.08	Professional		$364.52	$500.28	$906.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $474.25 / $572.64 / $651.86	Professional		$474.25	$572.64	$651.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.29 / $465.30 / $592.20	Professional		$344.29	$465.30	$592.20
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 $389.23 / $528.75 / $962.04	Professional		$389.23	$528.75	$962.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $385.62 / $570.19	Professional		$71.27	$385.62	$570.19