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 $69.25 / $130.41 / $217.41	Professional		$69.25	$130.41	$217.41
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 $76.68 / $187.95 / $343.62	Professional		$76.68	$187.95	$343.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $131.05 / $296.64	Professional		$110.16	$131.05	$296.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $192.53 / $264.25	Professional		$79.66	$192.53	$264.25
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 $150.38 / $233.93 / $302.61	Professional		$150.38	$233.93	$302.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $1,402.00 / $3,725.00	Professional		$96.67	$1,402.00	$3,725.00