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 $162.19 / $162.19 / $210.03	Professional		$162.19	$162.19	$210.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.37 / $4,156.80 / $6,112.94	Professional		$250.37	$4,156.80	$6,112.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $266.92 / $307.44 / $344.20	Professional		$266.92	$307.44	$344.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.76 / $4,319.81 / $5,094.10	Professional		$478.76	$4,319.81	$5,094.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $3,490.80 / $5,094.10	Professional		$201.08	$3,490.80	$5,094.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $341.27 / $1,550.00 / $3,801.77	Professional		$341.27	$1,550.00	$3,801.77