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 $60.95 / $96.91 / $277.18	Professional		$60.95	$96.91	$277.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.36 / $211.55 / $253.86	Professional		$158.36	$211.55	$253.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $117.91 / $208.63	Professional		$99.71	$117.91	$208.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $179.39 / $211.55	Professional		$69.23	$179.39	$211.55
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 $162.87 / $209.74 / $228.44	Professional		$162.87	$209.74	$228.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $83.05 / $201.87	Professional		$29.27	$83.05	$201.87