Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $1,486.00 / $3,883.00	Facility		$743.00	$1,486.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $510.74 / $1,717.23	Professional		$447.56	$510.74	$1,717.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.65 / $660.38 / $792.45	Professional		$500.65	$660.38	$792.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $674.77 / $758.13 / $5,851.00	Professional		$674.77	$758.13	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.13 / $633.96 / $739.62	Professional		$581.13	$633.96	$739.62
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 $509.60 / $660.38 / $818.88	Professional		$509.60	$660.38	$818.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $484.08 / $2,000.00 / $5,304.00	Professional		$484.08	$2,000.00	$5,304.00