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 $69.09 / $135.40 / $221.80	Professional		$69.09	$135.40	$221.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.16 / $302.83 / $363.39	Professional		$238.16	$302.83	$363.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $151.99 / $282.23	Professional		$130.46	$151.99	$282.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $256.80 / $302.83	Professional		$94.37	$256.80	$302.83
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 $232.69 / $301.76 / $363.56	Professional		$232.69	$301.76	$363.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.68 / $1,263.00 / $3,663.00	Professional		$101.68	$1,263.00	$3,663.00