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 $72.18 / $171.85 / $290.68	Professional		$72.18	$171.85	$290.68
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 $107.02 / $244.27 / $419.66	Professional		$107.02	$244.27	$419.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $142.82 / $172.44 / $367.02	Professional		$142.82	$172.44	$367.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $235.51 / $323.25	Professional		$79.00	$235.51	$323.25
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 $195.58 / $288.61 / $356.47	Professional		$195.58	$288.61	$356.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.49 / $1,402.00 / $3,725.00	Professional		$96.49	$1,402.00	$3,725.00