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 $53.32 / $89.01 / $383.38	Professional		$53.32	$89.01	$383.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.06 / $288.06 / $345.68	Professional		$235.06	$288.06	$345.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $106.50 / $390.58	Professional		$90.06	$106.50	$390.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $244.28 / $288.06	Professional		$62.57	$244.28	$288.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.06 / $288.06 / $408.81	Professional		$235.06	$288.06	$408.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $341.64 / $3,956.00	Professional		$51.03	$341.64	$3,956.00