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 $365.43 / $382.81 / $382.81	Professional		$365.43	$382.81	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.70 / $428.96 / $438.47	Professional		$352.70	$428.96	$438.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $568.72 / $671.09	Professional		$506.19	$568.72	$671.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.49 / $411.80 / $480.44	Professional		$377.49	$411.80	$480.44
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 $350.03 / $434.49 / $564.78	Professional		$350.03	$434.49	$564.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.79 / $1,500.00 / $3,725.00	Professional		$380.79	$1,500.00	$3,725.00