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 $53.99 / $94.74 / $222.29	Professional		$53.99	$94.74	$222.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $42.50 / $106.59	Professional		$34.68	$42.50	$106.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $144.38 / $279.23	Professional		$122.11	$144.38	$279.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $36.04 / $42.50	Professional		$26.36	$36.04	$42.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $43.61 / $54.99	Professional		$34.68	$43.61	$54.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $1,350.00 / $3,663.00	Professional		$32.72	$1,350.00	$3,663.00