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 $49.17 / $49.51 / $75.91	Professional		$49.17	$49.51	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $60.18 / $60.18	Professional		$47.37	$60.18	$60.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $76.59 / $8,902.00	Professional		$66.56	$76.59	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $57.77 / $67.40	Professional		$52.95	$57.77	$67.40
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 $49.10 / $60.18 / $76.17	Professional		$49.10	$60.18	$76.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $1,550.00 / $3,725.00	Professional		$56.62	$1,550.00	$3,725.00