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 $39.61 / $40.77 / $40.77	Professional		$39.61	$40.77	$40.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $45.09 / $47.17	Professional		$38.32	$45.09	$47.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $59.97 / $70.76	Professional		$53.38	$59.97	$70.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $43.28 / $50.50	Professional		$39.68	$43.28	$50.50
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 $45.09 / $45.09 / $60.63	Professional		$45.09	$45.09	$60.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $1,500.00 / $3,725.00	Professional		$43.18	$1,500.00	$3,725.00