Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.30 / $2,747.00 / $2,898.00	Facility		$252.30	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $76.38 / $380.00	Professional		$32.59	$76.38	$380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $113.33 / $135.99	Professional		$92.47	$113.33	$135.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $70.51 / $134.61	Professional		$59.63	$70.51	$134.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $99.73 / $117.86	Professional		$45.15	$99.73	$117.86
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 $87.20 / $113.33 / $206.10	Professional		$87.20	$113.33	$206.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $44.47 / $71.81	Professional		$6.41	$44.47	$71.81