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 $126.84 / $150.49 / $150.49	Professional		$126.84	$150.49	$150.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $153.53 / $179.06	Professional		$124.87	$153.53	$179.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $182.20 / $204.70 / $241.55	Professional		$182.20	$204.70	$241.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $147.38 / $171.95	Professional		$135.10	$147.38	$171.95
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 $125.28 / $153.53 / $200.09	Professional		$125.28	$153.53	$200.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $140.29 / $171.02	Professional		$29.27	$140.29	$171.02