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 $13.95 / $121.94 / $466.42	Professional		$13.95	$121.94	$466.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $273.19 / $274.70	Professional		$146.13	$273.19	$274.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $218.20 / $2,278.00	Professional		$170.35	$218.20	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $240.41 / $273.19	Professional		$95.90	$240.41	$273.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.92 / $273.19 / $357.51	Professional		$222.92	$273.19	$357.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $1,263.00 / $3,663.00	Professional		$110.18	$1,263.00	$3,663.00