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 $211.37 / $214.12 / $252.84	Professional		$211.37	$214.12	$252.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.07 / $284.33 / $321.13	Professional		$243.07	$284.33	$321.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $370.12 / $407.13	Professional		$322.00	$370.12	$407.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.76 / $287.33 / $359.66	Professional		$225.76	$287.33	$359.66
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 $262.04 / $321.13 / $409.17	Professional		$262.04	$321.13	$409.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $235.07 / $351.22	Professional		$44.25	$235.07	$351.22