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 $66.04 / $148.25 / $397.62	Professional		$66.04	$148.25	$397.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.92 / $302.16 / $362.60	Professional		$215.92	$302.16	$362.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $155.38 / $279.73	Professional		$133.37	$155.38	$279.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $256.23 / $302.16	Professional		$93.79	$256.23	$302.16
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 $237.97 / $302.16 / $420.14	Professional		$237.97	$302.16	$420.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $1,350.00 / $3,663.00	Professional		$115.07	$1,350.00	$3,663.00