Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.20 / $801.30 / $2,898.00	Facility		$387.20	$801.30	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $243.95 / $322.77	Professional		$61.99	$243.95	$322.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $175.57 / $315.41	Professional		$67.97	$175.57	$315.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $105.84 / $217.79	Professional		$89.51	$105.84	$217.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $259.89 / $315.41	Professional		$63.75	$259.89	$315.41
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 $174.18 / $315.41 / $332.66	Professional		$174.18	$315.41	$332.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $307.64 / $3,482.00	Professional		$50.72	$307.64	$3,482.00