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 $213.01 / $217.72 / $217.72	Professional		$213.01	$217.72	$217.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.60 / $263.24 / $263.24	Professional		$208.60	$263.24	$263.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $351.67 / $4,334.00	Professional		$305.64	$351.67	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.65 / $252.71 / $294.83	Professional		$231.65	$252.71	$294.83
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 $255.88 / $271.27 / $338.06	Professional		$255.88	$271.27	$338.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $250.48 / $1,500.00 / $3,725.00	Professional		$250.48	$1,500.00	$3,725.00