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 $103.36 / $139.30 / $155.50	Professional		$103.36	$139.30	$155.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.52 / $189.52 / $245.16	Professional		$161.52	$189.52	$245.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $240.89 / $277.17 / $2,342.00	Professional		$240.89	$277.17	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.63 / $232.44 / $274.58	Professional		$182.63	$232.44	$274.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.45 / $245.16 / $288.47	Professional		$196.45	$245.16	$288.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.06 / $1,402.00 / $3,725.00	Professional		$174.06	$1,402.00	$3,725.00