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 $160.68 / $212.79 / $212.79	Professional		$160.68	$212.79	$212.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $244.15 / $292.98	Professional		$210.95	$244.15	$292.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $249.74 / $280.58 / $4,765.00	Professional		$249.74	$280.58	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.85 / $234.38 / $273.45	Professional		$214.85	$234.38	$273.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $237.18 / $310.13	Professional		$181.45	$237.18	$310.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $254.99 / $1,550.00 / $3,725.00	Professional		$254.99	$1,550.00	$3,725.00