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 $145.32 / $603.98 / $998.45	Professional		$145.32	$603.98	$998.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.03 / $774.34 / $929.21	Professional		$669.03	$774.34	$929.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $815.75 / $916.51 / $10,901.00	Professional		$815.75	$916.51	$10,901.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.42 / $743.36 / $867.26	Professional		$681.42	$743.36	$867.26
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 $553.94 / $748.98 / $969.65	Professional		$553.94	$748.98	$969.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $622.09 / $1,500.00 / $3,725.00	Professional		$622.09	$1,500.00	$3,725.00