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 $86.30 / $220.12 / $349.54	Professional		$86.30	$220.12	$349.54
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 $111.55 / $300.00 / $522.32	Professional		$111.55	$300.00	$522.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $175.38 / $211.78 / $525.66	Professional		$175.38	$211.78	$525.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.04 / $351.65 / $482.65	Professional		$102.04	$351.65	$482.65
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 $258.10 / $430.94 / $544.85	Professional		$258.10	$430.94	$544.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $1,350.00 / $3,663.00	Professional		$125.37	$1,350.00	$3,663.00