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 $201.24 / $328.49 / $450.55	Professional		$201.24	$328.49	$450.55
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 $260.19 / $428.34 / $861.80	Professional		$260.19	$428.34	$861.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $493.92 / $554.92 / $668.24	Professional		$493.92	$554.92	$668.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.97 / $249.78 / $291.41	Professional		$228.97	$249.78	$291.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $272.77 / $447.86	Professional		$209.83	$272.77	$447.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $289.58 / $1,500.00 / $3,725.00	Professional		$289.58	$1,500.00	$3,725.00