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 $90.67 / $208.14 / $569.48	Professional		$90.67	$208.14	$569.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $282.02 / $460.88	Professional		$123.33	$282.02	$460.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $192.35 / $414.68	Professional		$162.66	$192.35	$414.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $405.57 / $516.17	Professional		$112.44	$405.57	$516.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $460.88 / $573.09	Professional		$376.07	$460.88	$573.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $173.01 / $516.99	Professional		$65.13	$173.01	$516.99