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 $281.97 / $395.37 / $522.13	Professional		$281.97	$395.37	$522.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.46 / $530.03 / $616.54	Professional		$384.46	$530.03	$616.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $543.51 / $642.70 / $783.76	Professional		$543.51	$642.70	$783.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.53 / $542.54 / $690.52	Professional		$374.53	$542.54	$690.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.09 / $616.54 / $774.83	Professional		$503.09	$616.54	$774.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $424.55 / $1,415.00 / $3,725.00	Professional		$424.55	$1,415.00	$3,725.00