Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,818.38 / $2,884.03	Facility		$489.78	$2,818.38	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $416.87	Professional		$61.66	$102.33	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $123.03	Professional		$100.00	$100.00	$123.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $2,570.40	Professional		$112.20	$138.04	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $138.04	Professional		$87.10	$109.65	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $147.91	Professional		$67.61	$100.00	$147.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $85.11 / $112.20	Professional		$29.51	$85.11	$112.20