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 $97.43 / $150.00 / $184.45	Professional		$97.43	$150.00	$184.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $215.28 / $258.33	Professional		$169.58	$215.28	$258.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $205.57 / $265.95	Professional		$176.45	$205.57	$265.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $182.55 / $215.28	Professional		$122.80	$182.55	$215.28
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 $175.66 / $215.28 / $282.26	Professional		$175.66	$215.28	$282.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $1,263.00 / $3,663.00	Professional		$134.10	$1,263.00	$3,663.00