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 $361.69 / $394.54 / $478.90	Professional		$361.69	$394.54	$478.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.39 / $530.91 / $539.66	Professional		$423.39	$530.91	$539.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $535.28 / $629.58 / $798.41	Professional		$535.28	$629.58	$798.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.34 / $476.43 / $604.41	Professional		$374.34	$476.43	$604.41
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 $440.36 / $539.66 / $689.04	Professional		$440.36	$539.66	$689.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $377.21 / $1,402.00 / $3,725.00	Professional		$377.21	$1,402.00	$3,725.00