Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.79 / $153.79 / $2,747.00	Facility		$153.79	$153.79	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $79.70 / $384.00	Professional		$25.41	$79.70	$384.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $132.01 / $158.41	Professional		$107.72	$132.01	$158.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $63.32 / $2,278.00	Professional		$54.97	$63.32	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $116.17 / $137.29	Professional		$39.53	$116.17	$137.29
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 $107.72 / $132.01 / $169.77	Professional		$107.72	$132.01	$169.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $39.58 / $130.03	Professional		$18.73	$39.58	$130.03