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 $350.74 / $350.74 / $362.24	Professional		$350.74	$350.74	$362.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.95 / $439.10 / $439.10	Professional		$351.95	$439.10	$439.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $509.51 / $572.45 / $675.49	Professional		$509.51	$572.45	$675.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.41 / $421.54 / $491.79	Professional		$386.41	$421.54	$491.79
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 $358.31 / $439.10 / $558.99	Professional		$358.31	$439.10	$558.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $335.37 / $1,500.00 / $3,725.00	Professional		$335.37	$1,500.00	$3,725.00