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 $91.73 / $153.11 / $238.73	Professional		$91.73	$153.11	$238.73
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 $102.36 / $224.34 / $408.59	Professional		$102.36	$224.34	$408.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $126.07 / $297.44	Professional		$106.61	$126.07	$297.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $224.34 / $307.92	Professional		$107.44	$224.34	$307.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.12 / $274.93 / $433.83	Professional		$173.12	$274.93	$433.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.12 / $1,402.00 / $3,725.00	Professional		$132.12	$1,402.00	$3,725.00