Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $2,818.38	Facility		$354.81	$354.81	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $575.44	Professional		$51.29	$97.72	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $151.36	Professional		$123.03	$123.03	$151.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $2,454.71	Professional		$162.18	$213.80	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $169.82 / $199.53	Professional		$63.10	$169.82	$199.53
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 $72.44 / $141.25 / $204.17	Professional		$72.44	$141.25	$204.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $89.13 / $154.88	Professional		$29.51	$89.13	$154.88