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 $113.51 / $144.03 / $739.00	Professional		$113.51	$144.03	$739.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.49 / $213.84 / $256.61	Professional		$174.49	$213.84	$256.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $231.04 / $256.44	Professional		$195.38	$231.04	$256.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.85 / $188.18 / $213.84	Professional		$144.85	$188.18	$213.84
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 $174.49 / $213.84 / $453.34	Professional		$174.49	$213.84	$453.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $138.12 / $202.96	Professional		$29.27	$138.12	$202.96