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 $376.07 / $422.22 / $534.23	Professional		$376.07	$422.22	$534.23
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 $418.17 / $562.89 / $1,051.43	Professional		$418.17	$562.89	$1,051.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $640.41 / $719.54 / $836.68	Professional		$640.41	$719.54	$836.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $578.17 / $674.55	Professional		$530.00	$578.17	$674.55
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 $414.77 / $599.12 / $751.64	Professional		$414.77	$599.12	$751.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $437.65 / $1,500.00 / $3,725.00	Professional		$437.65	$1,500.00	$3,725.00