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 $308.06 / $326.08 / $394.91	Professional		$308.06	$326.08	$394.91
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 $341.12 / $415.80 / $758.45	Professional		$341.12	$415.80	$758.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $439.33 / $493.60 / $567.64	Professional		$439.33	$493.60	$567.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.90 / $399.17 / $465.70	Professional		$365.90	$399.17	$465.70
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 $318.52 / $415.80 / $559.33	Professional		$318.52	$415.80	$559.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.52 / $1,500.00 / $3,725.00	Professional		$383.52	$1,500.00	$3,725.00