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 $86.98 / $96.28 / $156.37	Professional		$86.98	$96.28	$156.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $122.24 / $122.24	Professional		$103.27	$122.24	$122.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $150.54 / $4,334.00	Professional		$130.84	$150.54	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.57 / $117.35 / $136.91	Professional		$107.57	$117.35	$136.91
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 $99.75 / $122.24 / $158.18	Professional		$99.75	$122.24	$158.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $1,500.00 / $3,725.00	Professional		$126.07	$1,500.00	$3,725.00