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 $316.82 / $347.74 / $634.98	Professional		$316.82	$347.74	$634.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.74 / $944.14 / $1,388.45	Professional		$661.74	$944.14	$1,388.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $547.47 / $630.60 / $916.34	Professional		$547.47	$630.60	$916.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.19 / $981.17 / $1,157.04	Professional		$453.19	$981.17	$1,157.04
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 $630.83 / $1,032.42 / $1,190.46	Professional		$630.83	$1,032.42	$1,190.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $416.08 / $1,350.00 / $3,663.00	Professional		$416.08	$1,350.00	$3,663.00