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 $58.64 / $110.26 / $223.97	Professional		$58.64	$110.26	$223.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.53 / $173.24 / $207.89	Professional		$137.53	$173.24	$207.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $114.93 / $182.20	Professional		$97.19	$114.93	$182.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $146.91 / $173.24	Professional		$74.36	$146.91	$173.24
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 $141.36 / $173.24 / $186.35	Professional		$141.36	$173.24	$186.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $82.93 / $292.99	Professional		$29.27	$82.93	$292.99