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 $178.90 / $281.86 / $344.27	Professional		$178.90	$281.86	$344.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $270.20 / $324.24	Professional		$207.43	$270.20	$324.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $274.75 / $315.81 / $363.18	Professional		$274.75	$315.81	$363.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.31 / $237.78 / $270.20	Professional		$197.31	$237.78	$270.20
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 $220.48 / $270.20 / $339.93	Professional		$220.48	$270.20	$339.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $205.54 / $1,350.00 / $3,663.00	Professional		$205.54	$1,350.00	$3,663.00