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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $119.50 / $143.40	Professional		$97.51	$119.50	$143.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $137.57 / $166.65	Professional		$125.70	$137.57	$166.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.16 / $112.81 / $124.28	Professional		$96.16	$112.81	$124.28
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 $97.51 / $119.50 / $260.82	Professional		$97.51	$119.50	$260.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $1,402.00 / $3,725.00	Professional		$85.90	$1,402.00	$3,725.00