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 $367.24 / $384.23 / $384.23	Professional		$367.24	$384.23	$384.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.42 / $431.74 / $440.58	Professional		$354.42	$431.74	$440.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $504.12 / $566.39 / $668.34	Professional		$504.12	$566.39	$668.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.93 / $414.47 / $483.55	Professional		$379.93	$414.47	$483.55
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 $431.74 / $464.10 / $567.57	Professional		$431.74	$464.10	$567.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $384.80 / $1,500.00 / $3,725.00	Professional		$384.80	$1,500.00	$3,725.00