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 $379.93 / $398.12 / $398.12	Professional		$379.93	$398.12	$398.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.71 / $446.70 / $456.22	Professional		$366.71	$446.70	$456.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $532.75 / $598.57 / $706.31	Professional		$532.75	$598.57	$706.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.10 / $428.83 / $500.30	Professional		$393.10	$428.83	$500.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.51 / $451.39 / $586.85	Professional		$364.51	$451.39	$586.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $397.53 / $1,500.00 / $3,725.00	Professional		$397.53	$1,500.00	$3,725.00