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 $127.50 / $194.54 / $345.82	Professional		$127.50	$194.54	$345.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $233.34 / $265.56	Professional		$150.33	$233.34	$265.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.28 / $235.61 / $330.92	Professional		$190.28	$235.61	$330.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.58 / $233.70 / $297.43	Professional		$135.58	$233.70	$297.43
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 $238.96 / $265.56 / $331.80	Professional		$238.96	$265.56	$331.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.30 / $1,350.00 / $3,663.00	Professional		$158.30	$1,350.00	$3,663.00