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 $117.11 / $178.90 / $206.55	Professional		$117.11	$178.90	$206.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $213.76 / $220.84	Professional		$153.13	$213.76	$220.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $220.28 / $280.37	Professional		$181.77	$220.28	$280.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.29 / $194.34 / $247.34	Professional		$127.29	$194.34	$247.34
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 $180.20 / $220.84 / $281.70	Professional		$180.20	$220.84	$281.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.85 / $1,415.00 / $3,725.00	Professional		$162.85	$1,415.00	$3,725.00