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 $504.00 / $513.52 / $513.52	Professional		$504.00	$513.52	$513.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.47 / $624.45 / $624.45	Professional		$494.47	$624.45	$624.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $725.90 / $835.21 / $6,874.20	Professional		$725.90	$835.21	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.52 / $599.47 / $699.38	Professional		$549.52	$599.47	$699.38
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 $509.55 / $624.45 / $801.92	Professional		$509.55	$624.45	$801.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $444.50 / $1,500.00 / $3,725.00	Professional		$444.50	$1,500.00	$3,725.00