Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.40 / $382.40 / $2,747.00	Facility		$382.40	$382.40	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $98.69 / $432.54	Professional		$55.56	$98.69	$432.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.42 / $145.13 / $174.15	Professional		$118.42	$145.13	$174.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $135.93 / $168.30 / $225.55	Professional		$135.93	$168.30	$225.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $127.71 / $150.93	Professional		$62.45	$127.71	$150.93
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 $118.42 / $145.13 / $276.76	Professional		$118.42	$145.13	$276.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $105.55 / $3,113.00	Professional		$29.27	$105.55	$3,113.00