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 $135.13 / $197.86 / $337.90	Professional		$135.13	$197.86	$337.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.80 / $257.88 / $309.45	Professional		$222.80	$257.88	$309.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $210.05 / $248.39 / $2,077.00	Professional		$210.05	$248.39	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $206.30 / $257.88	Professional		$148.84	$206.30	$257.88
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 $180.01 / $245.50 / $324.50	Professional		$180.01	$245.50	$324.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $1,402.00 / $3,725.00	Professional		$162.54	$1,402.00	$3,725.00