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 $269.08 / $269.08 / $269.08	Professional		$269.08	$269.08	$269.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.95 / $295.88 / $355.05	Professional		$231.95	$295.88	$355.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $349.27 / $382.23 / $451.27	Professional		$349.27	$382.23	$451.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.37 / $284.04 / $331.38	Professional		$260.37	$284.04	$331.38
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 $241.43 / $295.88 / $393.00	Professional		$241.43	$295.88	$393.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $289.99 / $1,500.00 / $3,725.00	Professional		$289.99	$1,500.00	$3,725.00