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 $173.85 / $200.40 / $250.19	Professional		$173.85	$200.40	$250.19
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 $204.49 / $264.50 / $522.30	Professional		$204.49	$264.50	$522.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $280.49 / $315.14 / $362.41	Professional		$280.49	$315.14	$362.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $253.92 / $296.24	Professional		$232.76	$253.92	$296.24
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 $179.19 / $264.50 / $352.62	Professional		$179.19	$264.50	$352.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $191.68 / $288.64	Professional		$29.27	$191.68	$288.64