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 $116.37 / $136.31 / $227.45	Professional		$116.37	$136.31	$227.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.81 / $227.71 / $273.26	Professional		$185.81	$227.71	$273.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $225.65 / $254.00 / $2,342.00	Professional		$225.65	$254.00	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $200.39 / $227.71	Professional		$168.91	$200.39	$227.71
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 $185.81 / $227.71 / $436.96	Professional		$185.81	$227.71	$436.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $165.86 / $216.59	Professional		$31.22	$165.86	$216.59