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 $100.79 / $205.97 / $850.64	Professional		$100.79	$205.97	$850.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.63 / $812.63 / $812.63	Facility		$812.63	$812.63	$812.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $232.54 / $469.03	Professional		$115.62	$232.54	$469.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $175.27 / $208.51 / $326.19	Professional		$175.27	$208.51	$326.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $232.54 / $319.17	Professional		$126.50	$232.54	$319.17
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 $193.91 / $284.98 / $480.53	Professional		$193.91	$284.98	$480.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.56 / $1,402.00 / $3,725.00	Professional		$151.56	$1,402.00	$3,725.00