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 $124.34 / $125.79 / $125.79	Professional		$124.34	$125.79	$125.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $141.19 / $160.25	Professional		$120.79	$141.19	$160.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $170.39 / $196.05 / $6,874.20	Professional		$170.39	$196.05	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $135.55 / $158.13	Professional		$124.26	$135.55	$158.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $148.93 / $193.95	Professional		$115.22	$148.93	$193.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $138.65 / $161.46	Professional		$19.46	$138.65	$161.46