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 $431.04 / $436.25 / $469.07	Professional		$431.04	$436.25	$469.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.47 / $548.45 / $583.69	Professional		$450.47	$548.45	$583.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $612.03 / $704.19 / $4,334.00	Professional		$612.03	$704.19	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.82 / $560.34 / $653.73	Professional		$474.82	$560.34	$653.73
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 $476.29 / $583.69 / $736.74	Professional		$476.29	$583.69	$736.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $395.93 / $1,350.00 / $3,663.00	Professional		$395.93	$1,350.00	$3,663.00