Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.00 / $444.26 / $2,898.00	Facility		$336.00	$444.26	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $151.76 / $412.58	Professional		$95.59	$151.76	$412.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $167.96 / $201.56	Professional		$137.06	$167.96	$201.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $190.24 / $2,077.00	Professional		$168.35	$190.24	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $147.81 / $174.68	Professional		$132.24	$147.81	$174.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $167.96 / $306.94	Professional		$124.65	$167.96	$306.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $2,021.27 / $4,023.00	Professional		$75.26	$2,021.27	$4,023.00