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 $142.26 / $142.26 / $177.42	Professional		$142.26	$142.26	$177.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.35 / $226.18 / $271.41	Professional		$179.35	$226.18	$271.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $212.87 / $248.01 / $279.44	Professional		$212.87	$248.01	$279.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.74 / $199.03 / $226.18	Professional		$148.74	$199.03	$226.18
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 $179.28 / $226.18 / $291.26	Professional		$179.28	$226.18	$291.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $1,402.00 / $3,725.00	Professional		$159.75	$1,402.00	$3,725.00