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 $150.58 / $150.58 / $298.89	Professional		$150.58	$150.58	$298.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.20 / $309.74 / $371.69	Professional		$245.20	$309.74	$371.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $250.30 / $291.61 / $387.70	Professional		$250.30	$291.61	$387.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $262.66 / $309.74	Professional		$172.82	$262.66	$309.74
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 $252.75 / $309.74 / $396.08	Professional		$252.75	$309.74	$396.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $1,350.00 / $3,663.00	Professional		$212.39	$1,350.00	$3,663.00