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 $155.37 / $231.82 / $530.82	Professional		$155.37	$231.82	$530.82
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 $182.25 / $312.95 / $680.63	Professional		$182.25	$312.95	$680.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $320.26 / $441.88	Professional		$269.20	$320.26	$441.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $332.45 / $456.30	Professional		$192.13	$332.45	$456.30
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 $261.33 / $407.41 / $544.29	Professional		$261.33	$407.41	$544.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.05 / $1,350.00 / $3,663.00	Professional		$235.05	$1,350.00	$3,663.00