Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,818.38 / $4,466.84	Facility		$870.96	$2,818.38	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $234.42	Professional		$89.13	$144.54	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $223.87	Professional		$181.97	$181.97	$223.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $263.03	Professional		$169.82	$208.93	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $239.88	Professional		$102.33	$199.53	$239.88
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 $131.83 / $181.97 / $302.00	Professional		$131.83	$181.97	$302.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $128.82 / $213.80	Professional		$30.90	$128.82	$213.80