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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $189.55 / $227.46	Professional		$154.66	$189.55	$227.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $207.60 / $227.20 / $275.24	Professional		$207.60	$227.20	$275.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $178.94 / $197.13	Professional		$154.54	$178.94	$197.13
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 $154.66 / $195.93 / $428.82	Professional		$154.66	$195.93	$428.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $1,402.00 / $3,725.00	Professional		$147.61	$1,402.00	$3,725.00