Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.78 / $396.10 / $1,196.01	Facility		$111.78	$396.10	$1,196.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $97.78 / $409.92	Professional		$63.07	$97.78	$409.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $147.25 / $176.70	Professional		$120.16	$147.25	$176.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $173.24 / $241.91	Professional		$145.78	$173.24	$241.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $129.58 / $153.13	Professional		$65.76	$129.58	$153.13
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 $133.43 / $181.23 / $184.77	Professional		$133.43	$181.23	$184.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $73.88 / $161.38	Professional		$29.27	$73.88	$161.38