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 $97.86 / $167.83 / $256.56	Professional		$97.86	$167.83	$256.56
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 $111.23 / $238.68 / $472.97	Professional		$111.23	$238.68	$472.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $145.86 / $173.52 / $345.71	Professional		$145.86	$173.52	$345.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.01 / $239.37 / $328.55	Professional		$113.01	$239.37	$328.55
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 $192.61 / $293.35 / $375.13	Professional		$192.61	$293.35	$375.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $1,402.00 / $3,725.00	Professional		$139.16	$1,402.00	$3,725.00