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 $122.41 / $245.75 / $683.18	Professional		$122.41	$245.75	$683.18
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 $138.91 / $285.08 / $634.67	Professional		$138.91	$285.08	$634.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $215.49 / $256.36 / $440.01	Professional		$215.49	$256.36	$440.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.06 / $336.18 / $461.43	Professional		$154.06	$336.18	$461.43
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 $260.08 / $407.74 / $518.48	Professional		$260.08	$407.74	$518.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.97 / $1,350.00 / $3,663.00	Professional		$185.97	$1,350.00	$3,663.00