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 $211.84 / $275.99 / $342.93	Professional		$211.84	$275.99	$342.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.51 / $349.34 / $360.36	Professional		$272.51	$349.34	$360.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.88 / $393.26 / $464.19	Professional		$331.88	$393.26	$464.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.50 / $317.12 / $403.61	Professional		$232.50	$317.12	$403.61
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 $294.06 / $360.36 / $474.45	Professional		$294.06	$360.36	$474.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $1,402.00 / $3,725.00	Professional		$257.13	$1,402.00	$3,725.00