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 $128.46 / $287.70 / $536.16	Professional		$128.46	$287.70	$536.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.78 / $407.91 / $489.50	Professional		$327.78	$407.91	$489.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $228.26 / $265.93 / $450.29	Professional		$228.26	$265.93	$450.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $345.91 / $407.91	Professional		$157.41	$345.91	$407.91
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 $332.86 / $406.85 / $519.15	Professional		$332.86	$406.85	$519.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.26 / $1,350.00 / $3,663.00	Professional		$193.26	$1,350.00	$3,663.00