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 $110.09 / $251.24 / $312.19	Professional		$110.09	$251.24	$312.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.29 / $240.55 / $314.48	Professional		$147.29	$240.55	$314.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $210.68 / $334.83	Professional		$168.54	$210.68	$334.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $211.68 / $240.55	Professional		$96.24	$211.68	$240.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $240.55 / $312.83	Professional		$196.29	$240.55	$312.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.80 / $1,350.00 / $3,663.00	Professional		$109.80	$1,350.00	$3,663.00