Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,884.03 / $2,884.03	Facility		$630.96	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $691.83	Professional		$251.19	$295.12	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $436.52	Professional		$302.00	$371.54	$436.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $416.87	Professional		$331.13	$380.19	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $416.87	Professional		$331.13	$354.81	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $457.09	Professional		$213.80	$338.84	$457.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $380.19	Professional		$281.84	$281.84	$380.19