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 $76.28 / $187.96 / $309.94	Professional		$76.28	$187.96	$309.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.91 / $239.69 / $287.63	Professional		$179.91	$239.69	$287.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $158.04 / $277.63	Professional		$135.66	$158.04	$277.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $203.26 / $239.69	Professional		$96.04	$203.26	$239.69
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 $195.59 / $239.69 / $302.81	Professional		$195.59	$239.69	$302.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $141.31 / $258.39	Professional		$32.29	$141.31	$258.39