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 $72.87 / $128.96 / $164.50	Professional		$72.87	$128.96	$164.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.58 / $127.00 / $152.40	Professional		$100.58	$127.00	$152.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $141.71 / $207.26	Professional		$119.84	$141.71	$207.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $107.70 / $127.00	Professional		$59.43	$107.70	$127.00
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 $103.63 / $148.71 / $172.05	Professional		$103.63	$148.71	$172.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $1,174.00 / $3,956.00	Professional		$66.90	$1,174.00	$3,956.00