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 $143.47 / $149.94 / $252.64	Professional		$143.47	$149.94	$252.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $173.20 / $234.83	Professional		$144.69	$173.20	$234.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $246.84 / $283.72 / $4,116.00	Professional		$246.84	$283.72	$4,116.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.35 / $221.90 / $263.00	Professional		$174.35	$221.90	$263.00
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 $191.62 / $204.72 / $269.64	Professional		$191.62	$204.72	$269.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $1,402.00 / $3,725.00	Professional		$174.10	$1,402.00	$3,725.00