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 $157.50 / $231.59 / $303.16	Professional		$157.50	$231.59	$303.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $390.88 / $469.05	Professional		$318.95	$390.88	$469.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $299.12 / $353.71 / $464.35	Professional		$299.12	$353.71	$464.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.69 / $312.70 / $390.88	Professional		$210.69	$312.70	$390.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.35 / $390.88 / $738.10	Professional		$314.35	$390.88	$738.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $125.00 / $328.24	Professional		$20.00	$125.00	$328.24