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 $124.43 / $173.75 / $784.23	Professional		$124.43	$173.75	$784.23
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 $148.34 / $232.03 / $446.50	Professional		$148.34	$232.03	$446.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $219.72 / $255.99 / $316.23	Professional		$219.72	$255.99	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $211.59 / $282.30	Professional		$155.16	$211.59	$282.30
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 $177.35 / $252.05 / $319.64	Professional		$177.35	$252.05	$319.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $1,140.00 / $3,956.00	Professional		$153.80	$1,140.00	$3,956.00