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 $134.31 / $265.29 / $409.33	Professional		$134.31	$265.29	$409.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.84 / $313.95 / $376.76	Professional		$248.84	$313.95	$376.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $238.07 / $281.52 / $429.50	Professional		$238.07	$281.52	$429.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $266.24 / $313.95	Professional		$160.59	$266.24	$313.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.19 / $313.95 / $484.28	Professional		$256.19	$313.95	$484.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $193.90 / $1,350.00 / $3,663.00	Professional		$193.90	$1,350.00	$3,663.00