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 $354.85 / $371.59 / $461.92	Professional		$354.85	$371.59	$461.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.76 / $513.22 / $531.17	Professional		$417.76	$513.22	$531.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $518.39 / $609.71 / $755.01	Professional		$518.39	$609.71	$755.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.27 / $467.43 / $594.91	Professional		$367.27	$467.43	$594.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.44 / $531.17 / $677.90	Professional		$433.44	$531.17	$677.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $370.53 / $1,402.00 / $3,725.00	Professional		$370.53	$1,402.00	$3,725.00