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 $107.39 / $116.28 / $144.76	Professional		$107.39	$116.28	$144.76
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 $110.02 / $150.16 / $308.00	Professional		$110.02	$150.16	$308.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $168.40 / $193.66	Professional		$149.88	$168.40	$193.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $135.91 / $158.58	Professional		$124.60	$135.91	$158.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $141.59 / $206.33	Professional		$111.30	$141.59	$206.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $1,500.00 / $3,725.00	Professional		$137.37	$1,500.00	$3,725.00