Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.25 / $2,747.00 / $3,883.00	Facility		$764.25	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $220.00 / $467.13	Professional		$78.56	$220.00	$467.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $478.40 / $513.26	Professional		$101.28	$478.40	$513.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $162.55 / $763.25	Professional		$131.28	$162.55	$763.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $420.99 / $535.80	Professional		$89.03	$420.99	$535.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.37 / $538.97 / $786.83	Professional		$390.37	$538.97	$786.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $376.65 / $3,113.00	Professional		$70.90	$376.65	$3,113.00