Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,787.00 / $2,898.00	Facility		$864.50	$2,787.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $218.25 / $726.42	Professional		$192.03	$218.25	$726.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $251.60 / $299.95	Professional		$219.54	$251.60	$299.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $304.79 / $351.07 / $394.55	Professional		$304.79	$351.07	$394.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $266.74 / $335.94	Professional		$209.58	$266.74	$335.94
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 $244.76 / $299.95 / $376.58	Professional		$244.76	$299.95	$376.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $220.12 / $328.89	Professional		$41.44	$220.12	$328.89