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 $187.51 / $192.67 / $1,082.00	Professional		$187.51	$192.67	$1,082.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.05 / $252.85 / $252.85	Professional		$182.05	$252.85	$252.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.80 / $310.43 / $2,342.00	Professional		$269.80	$310.43	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.51 / $242.74 / $283.19	Professional		$222.51	$242.74	$283.19
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 $206.33 / $252.85 / $316.83	Professional		$206.33	$252.85	$316.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $247.28 / $1,500.00 / $3,725.00	Professional		$247.28	$1,500.00	$3,725.00