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 $120.32 / $389.34 / $516.26	Professional		$120.32	$389.34	$516.26
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 $137.81 / $474.34 / $797.07	Professional		$137.81	$474.34	$797.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $236.34 / $745.48	Professional		$198.66	$236.34	$745.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $480.46 / $659.46	Professional		$144.07	$480.46	$659.46
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 $405.85 / $588.79 / $1,054.81	Professional		$405.85	$588.79	$1,054.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $1,350.00 / $3,663.00	Professional		$171.75	$1,350.00	$3,663.00