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 $135.13 / $137.49 / $220.85	Professional		$135.13	$137.49	$220.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $250.38 / $286.95	Professional		$165.05	$250.38	$286.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $254.70 / $352.33	Professional		$205.70	$254.70	$352.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.77 / $252.52 / $321.38	Professional		$143.77	$252.52	$321.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $286.95 / $348.36	Professional		$268.77	$286.95	$348.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $3,857.70 / $6,063.00	Professional		$156.33	$3,857.70	$6,063.00