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 $158.78 / $442.51 / $619.24	Professional		$158.78	$442.51	$619.24
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 $191.56 / $558.38 / $922.71	Professional		$191.56	$558.38	$922.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $279.55 / $332.57 / $916.39	Professional		$279.55	$332.57	$916.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.60 / $606.00 / $772.36	Professional		$202.60	$606.00	$772.36
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 $446.02 / $722.67 / $920.12	Professional		$446.02	$722.67	$920.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $1,350.00 / $3,663.00	Professional		$245.26	$1,350.00	$3,663.00