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 $67.84 / $157.77 / $704.18	Professional		$67.84	$157.77	$704.18
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 $79.73 / $198.25 / $456.05	Professional		$79.73	$198.25	$456.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $133.88 / $322.23	Professional		$110.87	$133.88	$322.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $310.11 / $425.64	Professional		$79.31	$310.11	$425.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $380.04 / $472.88	Professional		$230.56	$380.04	$472.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $1,415.00 / $3,663.00	Professional		$98.60	$1,415.00	$3,663.00