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 $130.00 / $148.07 / $794.53	Professional		$130.00	$148.07	$794.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $172.70 / $172.70	Professional		$144.59	$172.70	$172.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $172.33 / $201.05	Professional		$157.97	$172.33	$201.05
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 $126.04 / $207.83 / $255.01	Professional		$126.04	$207.83	$255.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $111.58 / $171.20	Professional		$21.57	$111.58	$171.20