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 $148.38 / $465.00 / $686.47	Professional		$148.38	$465.00	$686.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.38 / $664.96 / $669.63	Professional		$175.38	$664.96	$669.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $197.76 / $244.88 / $295.08	Professional		$197.76	$244.88	$295.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $589.27 / $749.98	Professional		$135.47	$589.27	$749.98
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 $546.41 / $669.63 / $934.32	Professional		$546.41	$669.63	$934.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $1,402.00 / $3,663.00	Professional		$150.30	$1,402.00	$3,663.00