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 $158.16 / $158.16 / $325.17	Professional		$158.16	$158.16	$325.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.05 / $426.75 / $512.10	Professional		$339.05	$426.75	$512.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $250.94 / $289.04 / $476.93	Professional		$250.94	$289.04	$476.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $361.88 / $426.75	Professional		$177.25	$361.88	$426.75
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 $348.23 / $426.75 / $593.01	Professional		$348.23	$426.75	$593.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.46 / $1,350.00 / $3,663.00	Professional		$212.46	$1,350.00	$3,663.00