Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.60 / $2,747.00 / $2,898.00	Facility		$579.60	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $111.25 / $129.11	Professional		$73.05	$111.25	$129.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $131.47 / $139.63	Professional		$95.58	$131.47	$139.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $147.03 / $478.15	Professional		$120.29	$147.03	$478.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $122.88 / $156.38	Professional		$80.77	$122.88	$156.38
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 $113.94 / $139.63 / $181.77	Professional		$113.94	$139.63	$181.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $2,370.61 / $4,035.20	Professional		$97.00	$2,370.61	$4,035.20