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 $313.27 / $313.27 / $314.56	Professional		$313.27	$313.27	$314.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $396.20 / $396.20	Professional		$305.89	$396.20	$396.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $422.88 / $486.56 / $2,342.00	Professional		$422.88	$486.56	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.66 / $380.35 / $443.74	Professional		$348.66	$380.35	$443.74
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 $372.98 / $394.72 / $506.66	Professional		$372.98	$394.72	$506.66
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