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 $278.44 / $278.44 / $494.17	Professional		$278.44	$278.44	$494.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.54 / $345.23 / $469.34	Professional		$244.54	$345.23	$469.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $440.70 / $513.42 / $600.39	Professional		$440.70	$513.42	$600.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.18 / $375.47 / $438.05	Professional		$344.18	$375.47	$438.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.14 / $391.11 / $601.94	Professional		$319.14	$391.11	$601.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $305.92 / $662.87	Professional		$42.69	$305.92	$662.87