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 $75.65 / $76.45 / $76.45	Professional		$75.65	$76.45	$76.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $92.38 / $92.38	Professional		$74.30	$92.38	$92.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $124.98 / $2,342.00	Professional		$108.62	$124.98	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $88.68 / $103.46	Professional		$81.29	$88.68	$103.46
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 $75.38 / $92.38 / $118.68	Professional		$75.38	$92.38	$118.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $1,402.00 / $3,725.00	Professional		$65.48	$1,402.00	$3,725.00