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 $89.87 / $146.50 / $291.54	Professional		$89.87	$146.50	$291.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.51 / $233.23 / $279.87	Professional		$201.51	$233.23	$279.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $210.32 / $2,077.00	Professional		$177.86	$210.32	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $186.58 / $233.23	Professional		$126.74	$186.58	$233.23
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 $160.62 / $221.36 / $291.93	Professional		$160.62	$221.36	$291.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.54 / $1,402.00 / $3,725.00	Professional		$147.54	$1,402.00	$3,725.00