Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.00 / $2,747.00 / $5,484.00	Facility		$962.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $92.33 / $136.13	Professional		$70.47	$92.33	$136.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $154.61 / $154.61	Professional		$125.24	$154.61	$154.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $183.95 / $4,334.00	Professional		$159.88	$183.95	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.06 / $148.43 / $173.17	Professional		$136.06	$148.43	$173.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $154.61 / $194.04	Professional		$126.16	$154.61	$194.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $3,900.00 / $8,000.00	Professional		$163.25	$3,900.00	$8,000.00