Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.80 / $988.00 / $2,898.00	Facility		$587.80	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $162.30 / $552.00	Professional		$78.12	$162.30	$552.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.58 / $200.46 / $240.56	Professional		$163.58	$200.46	$240.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $160.25 / $189.50 / $231.16	Professional		$160.25	$189.50	$231.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $176.41 / $200.46	Professional		$130.04	$176.41	$200.46
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 $160.62 / $200.46 / $377.16	Professional		$160.62	$200.46	$377.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $2,936.74 / $5,401.00	Professional		$110.48	$2,936.74	$5,401.00