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 $98.12 / $124.68 / $173.79	Professional		$98.12	$124.68	$173.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $176.68 / $183.44	Professional		$115.48	$176.68	$183.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $181.26 / $229.04	Professional		$148.29	$181.26	$229.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $155.47 / $197.88	Professional		$87.62	$155.47	$197.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $176.68 / $219.33	Professional		$144.16	$176.68	$219.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $1,350.00 / $3,663.00	Professional		$105.16	$1,350.00	$3,663.00