Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.69 / $2,747.00 / $2,898.00	Facility		$936.69	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $99.89 / $149.32	Professional		$52.95	$99.89	$149.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $148.61 / $169.04	Professional		$73.31	$148.61	$169.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $114.37 / $216.48	Professional		$96.72	$114.37	$216.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $148.75 / $189.32	Professional		$69.04	$148.75	$189.32
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 $137.93 / $169.04 / $214.86	Professional		$137.93	$169.04	$214.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $1,140.00 / $3,580.00	Professional		$54.81	$1,140.00	$3,580.00