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 $478.17 / $520.26 / $520.26	Professional		$478.17	$520.26	$520.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.42 / $707.89 / $707.89	Professional		$557.42	$707.89	$707.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $762.80 / $877.67 / $4,334.00	Professional		$762.80	$877.67	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.94 / $679.57 / $792.83	Professional		$622.94	$679.57	$792.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.64 / $707.89 / $891.69	Professional		$577.64	$707.89	$891.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $1,500.00 / $3,725.00	Professional		$655.00	$1,500.00	$3,725.00