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 $191.46 / $237.22 / $367.16	Professional		$191.46	$237.22	$367.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.89 / $367.51 / $441.02	Professional		$299.89	$367.51	$441.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $415.70 / $512.48	Professional		$360.90	$415.70	$512.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.73 / $323.41 / $367.51	Professional		$254.73	$323.41	$367.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.26 / $367.51 / $725.62	Professional		$319.26	$367.51	$725.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $267.07 / $1,415.00 / $3,725.00	Professional		$267.07	$1,415.00	$3,725.00