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 $59.63 / $78.79 / $90.27	Professional		$59.63	$78.79	$90.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $69.34 / $97.39	Professional		$57.74	$69.34	$97.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $125.61 / $148.22	Professional		$111.80	$125.61	$148.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $66.58 / $77.67	Professional		$61.03	$66.58	$77.67
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 $68.83 / $69.34 / $90.24	Professional		$68.83	$69.34	$90.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $75.20 / $134.72	Professional		$29.27	$75.20	$134.72