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 $159.18 / $167.88 / $278.16	Professional		$159.18	$167.88	$278.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.10 / $222.05 / $266.45	Professional		$172.10	$222.05	$266.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $244.78 / $267.88 / $316.27	Professional		$244.78	$267.88	$316.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.40 / $213.17 / $248.70	Professional		$195.40	$213.17	$248.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.19 / $224.18 / $286.43	Professional		$181.19	$224.18	$286.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.76 / $1,500.00 / $3,725.00	Professional		$212.76	$1,500.00	$3,725.00