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 $137.94 / $150.51 / $217.93	Professional		$137.94	$150.51	$217.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.05 / $398.80 / $478.56	Professional		$313.05	$398.80	$478.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $253.81 / $295.70 / $384.07	Professional		$253.81	$295.70	$384.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.72 / $338.18 / $398.80	Professional		$192.72	$338.18	$398.80
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 $266.55 / $396.83 / $488.93	Professional		$266.55	$396.83	$488.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.04 / $1,402.00 / $3,725.00	Professional		$206.04	$1,402.00	$3,725.00