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 $93.04 / $98.23 / $126.09	Professional		$93.04	$98.23	$126.09
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 $81.67 / $126.85 / $308.00	Professional		$81.67	$126.85	$308.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $127.19 / $142.91 / $164.35	Professional		$127.19	$142.91	$164.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $120.68 / $140.80	Professional		$110.63	$120.68	$140.80
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 $98.33 / $125.71 / $170.26	Professional		$98.33	$125.71	$170.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $1,500.00 / $3,725.00	Professional		$119.04	$1,500.00	$3,725.00