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 $72.81 / $101.76 / $207.61	Professional		$72.81	$101.76	$207.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $161.47 / $193.77	Professional		$131.76	$161.47	$193.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $150.72 / $189.68	Professional		$128.19	$150.72	$189.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $142.10 / $167.93	Professional		$94.54	$142.10	$167.93
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 $131.76 / $161.47 / $335.24	Professional		$131.76	$161.47	$335.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $94.86 / $155.01	Professional		$29.27	$94.86	$155.01