Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.18 / $340.18 / $2,898.00	Facility		$340.18	$340.18	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $107.80 / $176.30	Professional		$58.36	$107.80	$176.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $132.11 / $158.54	Professional		$107.80	$132.11	$158.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $69.95 / $2,278.00	Professional		$60.04	$69.95	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $116.26 / $137.40	Professional		$44.01	$116.26	$137.40
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 $107.80 / $132.11 / $244.74	Professional		$107.80	$132.11	$244.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $39.34 / $129.28	Professional		$18.64	$39.34	$129.28