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 $345.40 / $345.40 / $533.99	Professional		$345.40	$345.40	$533.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.29 / $420.23 / $504.27	Professional		$322.29	$420.23	$504.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $441.39 / $495.91 / $3,935.00	Professional		$441.39	$495.91	$3,935.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.80 / $403.42 / $470.65	Professional		$369.80	$403.42	$470.65
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 $328.00 / $420.23 / $524.09	Professional		$328.00	$420.23	$524.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.05 / $1,500.00 / $3,725.00	Professional		$346.05	$1,500.00	$3,725.00