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 $74.17 / $147.83 / $227.60	Professional		$74.17	$147.83	$227.60
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 $88.94 / $209.75 / $387.44	Professional		$88.94	$209.75	$387.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $112.83 / $287.47	Professional		$94.84	$112.83	$287.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $216.36 / $296.97	Professional		$90.65	$216.36	$296.97
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 $162.75 / $253.80 / $337.24	Professional		$162.75	$253.80	$337.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $1,402.00 / $3,725.00	Professional		$111.20	$1,402.00	$3,725.00