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 $320.29 / $423.96 / $573.84	Professional		$320.29	$423.96	$573.84
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 $385.00 / $580.62 / $1,230.24	Professional		$385.00	$580.62	$1,230.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $561.21 / $660.07 / $782.01	Professional		$561.21	$660.07	$782.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.53 / $580.62 / $740.01	Professional		$402.53	$580.62	$740.01
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 $451.67 / $699.56 / $906.81	Professional		$451.67	$699.56	$906.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $435.53 / $1,402.00 / $3,725.00	Professional		$435.53	$1,402.00	$3,725.00