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 $440.03 / $440.03 / $1,433.83	Professional		$440.03	$440.03	$1,433.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.60 / $680.70 / $816.84	Professional		$522.60	$680.70	$816.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $706.86 / $814.19 / $1,172.40	Professional		$706.86	$814.19	$1,172.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.02 / $653.47 / $762.38	Professional		$599.02	$653.47	$762.38
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 $555.45 / $680.70 / $2,235.38	Professional		$555.45	$680.70	$2,235.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $495.37 / $1,415.00 / $3,725.00	Professional		$495.37	$1,415.00	$3,725.00