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 $84.61 / $87.43 / $87.43	Professional		$84.61	$87.43	$87.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $98.85 / $98.85	Professional		$80.63	$98.85	$98.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $127.22 / $2,342.00	Professional		$110.57	$127.22	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $94.90 / $110.71	Professional		$86.99	$94.90	$110.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $98.85 / $126.78	Professional		$80.66	$98.85	$126.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $1,500.00 / $3,725.00	Professional		$103.25	$1,500.00	$3,725.00