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 $78.37 / $141.40 / $186.77	Professional		$78.37	$141.40	$186.77
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 $100.91 / $190.93 / $341.54	Professional		$100.91	$190.93	$341.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $150.94 / $285.29	Professional		$125.01	$150.94	$285.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $184.57 / $253.33	Professional		$87.02	$184.57	$253.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $226.19 / $285.05	Professional		$158.44	$226.19	$285.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $1,402.00 / $3,725.00	Professional		$108.08	$1,402.00	$3,725.00