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 $160.80 / $215.81 / $291.88	Professional		$160.80	$215.81	$291.88
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 $198.50 / $299.20 / $600.29	Professional		$198.50	$299.20	$600.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $282.48 / $336.05 / $428.60	Professional		$282.48	$336.05	$428.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $276.73 / $379.82	Professional		$202.76	$276.73	$379.82
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 $237.43 / $339.13 / $433.36	Professional		$237.43	$339.13	$433.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $244.22 / $376.26	Professional		$47.03	$244.22	$376.26