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 $63.67 / $92.31 / $192.06	Professional		$63.67	$92.31	$192.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.57 / $148.99 / $178.79	Professional		$121.57	$148.99	$178.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $131.86 / $175.11	Professional		$112.37	$131.86	$175.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $131.11 / $154.94	Professional		$82.32	$131.11	$154.94
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 $121.57 / $148.99 / $305.04	Professional		$121.57	$148.99	$305.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $83.15 / $143.30	Professional		$29.27	$83.15	$143.30