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 $483.27 / $507.83 / $507.83	Professional		$483.27	$507.83	$507.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.56 / $568.60 / $582.72	Professional		$466.56	$568.60	$582.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $666.14 / $748.42 / $883.14	Professional		$666.14	$748.42	$883.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.37 / $545.86 / $636.83	Professional		$500.37	$545.86	$636.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.98 / $575.94 / $748.14	Professional		$463.98	$575.94	$748.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $508.73 / $1,500.00 / $3,725.00	Professional		$508.73	$1,500.00	$3,725.00