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 $173.40 / $207.15 / $284.49	Professional		$173.40	$207.15	$284.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.22 / $258.05 / $293.69	Professional		$203.22	$258.05	$293.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $272.94 / $322.75 / $359.93	Professional		$272.94	$322.75	$359.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.71 / $258.45 / $328.93	Professional		$196.71	$258.45	$328.93
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 $239.65 / $293.69 / $362.81	Professional		$239.65	$293.69	$362.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $191.06 / $1,350.00 / $3,663.00	Professional		$191.06	$1,350.00	$3,663.00