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 $281.33 / $281.33 / $535.77	Professional		$281.33	$281.33	$535.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.17 / $318.69 / $382.43	Professional		$249.17	$318.69	$382.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $459.78 / $528.75 / $621.50	Professional		$459.78	$528.75	$621.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.45 / $305.94 / $356.93	Professional		$280.45	$305.94	$356.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.05 / $318.69 / $705.44	Professional		$260.05	$318.69	$705.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $284.20 / $1,357.19 / $3,663.00	Professional		$284.20	$1,357.19	$3,663.00