Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,884.03 / $2,884.03	Facility		$977.24	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $338.84	Professional		$69.18	$112.20	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $169.82	Professional		$138.04	$138.04	$169.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $2,454.71	Professional		$138.04	$169.82	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $181.97	Professional		$95.50	$154.88	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $213.80	Professional		$85.11	$138.04	$213.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $2,398.83 / $4,073.80	Professional		$89.13	$2,398.83	$4,073.80