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 $73.05 / $190.21 / $305.08	Professional		$73.05	$190.21	$305.08
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 $94.21 / $254.06 / $454.77	Professional		$94.21	$254.06	$454.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $155.31 / $398.89	Professional		$128.62	$155.31	$398.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $309.24 / $424.45	Professional		$90.65	$309.24	$424.45
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 $238.08 / $373.38 / $473.92	Professional		$238.08	$373.38	$473.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $1,350.00 / $3,663.00	Professional		$111.20	$1,350.00	$3,663.00