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 $207.09 / $299.33 / $393.31	Professional		$207.09	$299.33	$393.31
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 $235.44 / $377.59 / $775.51	Professional		$235.44	$377.59	$775.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $344.90 / $410.32 / $557.16	Professional		$344.90	$410.32	$557.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $359.36 / $493.23	Professional		$248.53	$359.36	$493.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $438.68 / $561.12	Professional		$285.95	$438.68	$561.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $1,402.00 / $3,725.00	Professional		$288.33	$1,402.00	$3,725.00