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 $54.86 / $70.83 / $109.57	Professional		$54.86	$70.83	$109.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $86.64 / $87.25	Professional		$69.26	$86.64	$87.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $100.51 / $141.90	Professional		$87.26	$100.51	$141.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $77.42 / $97.72	Professional		$60.83	$77.42	$97.72
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 $83.61 / $88.65 / $110.73	Professional		$83.61	$88.65	$110.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $61.38 / $91.67	Professional		$29.27	$61.38	$91.67