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 $169.58 / $221.87 / $274.98	Professional		$169.58	$221.87	$274.98
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 $205.82 / $298.95 / $585.65	Professional		$205.82	$298.95	$585.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $294.58 / $350.46 / $412.39	Professional		$294.58	$350.46	$412.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.56 / $288.50 / $369.17	Professional		$211.56	$288.50	$369.17
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 $232.88 / $329.61 / $422.91	Professional		$232.88	$329.61	$422.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $243.08 / $366.05	Professional		$45.76	$243.08	$366.05