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 $113.12 / $185.55 / $243.51	Professional		$113.12	$185.55	$243.51
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 $128.99 / $231.68 / $478.03	Professional		$128.99	$231.68	$478.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.35 / $226.45 / $337.18	Professional		$190.35	$226.45	$337.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $233.93 / $321.08	Professional		$141.88	$233.93	$321.08
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 $183.52 / $286.68 / $419.58	Professional		$183.52	$286.68	$419.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $1,402.00 / $3,725.00	Professional		$170.70	$1,402.00	$3,725.00