Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,944.00 / $10,126.00	Facility		$500.00	$2,944.00	$10,126.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.00 / $4,695.00 / $5,521.00	Facility		$1,650.00	$4,695.00	$5,521.00
HMSA Facility/Professional Facility Modifier Low / Median / High Price $374.31 / $863.00 / $941.00	Facility		$374.31	$863.00	$941.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $275.00 / $25,886.78	Facility		$110.00	$275.00	$25,886.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $2,741.00 / $5,309.00	Facility		$1,200.00	$2,741.00	$5,309.00
University Health Alliance Facility/Professional Facility Modifier Low / Median / High Price $1,280.00 / $3,772.00 / $14,755.00	Facility		$1,280.00	$3,772.00	$14,755.00