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 $167.04 / $179.90 / $295.95	Professional		$167.04	$179.90	$295.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.21 / $226.59 / $315.91	Professional		$195.21	$226.59	$315.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $293.93 / $337.85 / $5,879.00	Professional		$293.93	$337.85	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.04 / $278.00 / $353.82	Professional		$206.04	$278.00	$353.82
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 $257.77 / $315.91 / $363.26	Professional		$257.77	$315.91	$363.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $210.09 / $1,402.00 / $3,725.00	Professional		$210.09	$1,402.00	$3,725.00