Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.40 / $153.90 / $2,898.00	Facility		$150.40	$153.90	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $52.41 / $241.00	Professional		$27.19	$52.41	$241.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $77.43 / $92.91	Professional		$63.18	$77.43	$92.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $61.11 / $85.71	Professional		$51.06	$61.11	$85.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $68.13 / $80.52	Professional		$40.64	$68.13	$80.52
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 $51.24 / $77.43 / $131.88	Professional		$51.24	$77.43	$131.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $40.51 / $72.03	Professional		$28.93	$40.51	$72.03