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 $189.94 / $280.14 / $1,108.00	Professional		$189.94	$280.14	$1,108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.79 / $318.14 / $445.34	Professional		$227.79	$318.14	$445.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $248.16 / $307.27 / $434.64	Professional		$248.16	$307.27	$434.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $391.90 / $498.78	Professional		$162.94	$391.90	$498.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.40 / $445.34 / $542.30	Professional		$363.40	$445.34	$542.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.91 / $1,402.00 / $3,725.00	Professional		$198.91	$1,402.00	$3,725.00