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 $363.91 / $380.37 / $472.30	Professional		$363.91	$380.37	$472.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.72 / $524.83 / $545.00	Professional		$427.72	$524.83	$545.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $542.16 / $624.48 / $878.34	Professional		$542.16	$624.48	$878.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.17 / $479.60 / $610.40	Professional		$376.17	$479.60	$610.40
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 $444.72 / $545.00 / $695.90	Professional		$444.72	$545.00	$695.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $379.51 / $1,402.00 / $3,725.00	Professional		$379.51	$1,402.00	$3,725.00