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 $98.74 / $143.38 / $261.88	Professional		$98.74	$143.38	$261.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.79 / $319.87 / $499.06	Professional		$160.79	$319.87	$499.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $249.45 / $464.83	Professional		$210.95	$249.45	$464.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $439.18 / $558.95	Professional		$139.91	$439.18	$558.95
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 $407.24 / $499.06 / $593.46	Professional		$407.24	$499.06	$593.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $180.01 / $539.79	Professional		$68.00	$180.01	$539.79