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 $319.22 / $319.37 / $582.04	Professional		$319.22	$319.37	$582.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.41 / $455.16 / $455.16	Professional		$308.41	$455.16	$455.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $487.53 / $560.95 / $4,334.00	Professional		$487.53	$560.95	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.54 / $436.96 / $509.78	Professional		$400.54	$436.96	$509.78
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 $371.41 / $455.16 / $549.12	Professional		$371.41	$455.16	$549.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.82 / $1,550.00 / $3,725.00	Professional		$446.82	$1,550.00	$3,725.00