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 $79.65 / $149.04 / $391.72	Professional		$79.65	$149.04	$391.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.39 / $297.48 / $356.97	Professional		$240.39	$297.48	$356.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $174.12 / $299.27	Professional		$149.44	$174.12	$299.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.38 / $252.26 / $297.48	Professional		$104.38	$252.26	$297.48
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 $220.65 / $297.48 / $363.69	Professional		$220.65	$297.48	$363.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $1,350.00 / $3,663.00	Professional		$126.50	$1,350.00	$3,663.00