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 $549.60 / $708.97 / $1,191.76	Professional		$549.60	$708.97	$1,191.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.69 / $952.19 / $1,142.63	Professional		$822.69	$952.19	$1,142.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $965.48 / $1,084.75 / $13,672.00	Professional		$965.48	$1,084.75	$13,672.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.74 / $837.93 / $966.47	Professional		$708.74	$837.93	$966.47
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 $689.41 / $918.74 / $962.84	Professional		$689.41	$918.74	$962.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $1,402.00 / $3,725.00	Professional		$655.00	$1,402.00	$3,725.00