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 $473.27 / $496.31 / $496.31	Professional		$473.27	$496.31	$496.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.36 / $573.95 / $573.95	Professional		$454.36	$573.95	$573.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $660.71 / $760.20 / $4,334.00	Professional		$660.71	$760.20	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.08 / $550.99 / $642.82	Professional		$505.08	$550.99	$642.82
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 $468.34 / $573.95 / $735.75	Professional		$468.34	$573.95	$735.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $396.89 / $1,402.00 / $3,725.00	Professional		$396.89	$1,402.00	$3,725.00