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 $152.18 / $327.75 / $468.28	Professional		$152.18	$327.75	$468.28
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 $189.51 / $440.46 / $784.32	Professional		$189.51	$440.46	$784.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $267.07 / $322.49 / $691.83	Professional		$267.07	$322.49	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.24 / $447.44 / $614.14	Professional		$172.24	$447.44	$614.14
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 $354.33 / $548.34 / $791.29	Professional		$354.33	$548.34	$791.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $1,402.00 / $3,663.00	Professional		$212.36	$1,402.00	$3,663.00