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 $73.51 / $186.90 / $297.58	Professional		$73.51	$186.90	$297.58
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 $90.06 / $243.85 / $432.96	Professional		$90.06	$243.85	$432.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $147.58 / $403.41	Professional		$123.11	$147.58	$403.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $294.41 / $404.10	Professional		$87.34	$294.41	$404.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $355.71 / $451.47	Professional		$211.70	$355.71	$451.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $1,350.00 / $3,663.00	Professional		$106.43	$1,350.00	$3,663.00