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 $457.08 / $463.03 / $463.03	Professional		$457.08	$463.03	$463.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.16 / $565.70 / $565.70	Professional		$448.16	$565.70	$565.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $660.48 / $742.07 / $875.64	Professional		$660.48	$742.07	$875.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.82 / $543.07 / $633.58	Professional		$497.82	$543.07	$633.58
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 $461.61 / $565.70 / $726.62	Professional		$461.61	$565.70	$726.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $403.11 / $1,500.00 / $3,725.00	Professional		$403.11	$1,500.00	$3,725.00