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 $356.18 / $868.45 / $1,467.20	Professional		$356.18	$868.45	$1,467.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.77 / $1,062.92 / $1,119.64	Professional		$427.77	$1,062.92	$1,119.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $530.78 / $657.22 / $1,499.50	Professional		$530.78	$657.22	$1,499.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.54 / $985.28 / $1,253.99	Professional		$367.54	$985.28	$1,253.99
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 $913.62 / $1,119.64 / $1,475.15	Professional		$913.62	$1,119.64	$1,475.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $378.90 / $1,402.00 / $3,663.00	Professional		$378.90	$1,402.00	$3,663.00