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 $505.12 / $615.65 / $2,797.00	Professional		$505.12	$615.65	$2,797.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.70 / $785.66 / $942.80	Professional		$603.70	$785.66	$942.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $808.14 / $907.97 / $5,851.00	Professional		$808.14	$907.97	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.38 / $754.24 / $879.94	Professional		$691.38	$754.24	$879.94
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 $549.88 / $785.66 / $968.81	Professional		$549.88	$785.66	$968.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $552.25 / $2,000.00 / $5,304.00	Professional		$552.25	$2,000.00	$5,304.00