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 $171.66 / $209.82 / $624.08	Professional		$171.66	$209.82	$624.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.73 / $332.71 / $367.56	Professional		$220.73	$332.71	$367.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $322.04 / $380.81 / $464.76	Professional		$322.04	$380.81	$464.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.83 / $323.45 / $411.67	Professional		$229.83	$323.45	$411.67
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 $299.93 / $367.56 / $463.65	Professional		$299.93	$367.56	$463.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $245.07 / $1,402.00 / $3,725.00	Professional		$245.07	$1,402.00	$3,725.00