Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.15 / $1,157.88 / $3,883.00	Facility		$225.15	$1,157.88	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $156.94 / $258.45	Professional		$118.90	$156.94	$258.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $200.98 / $241.17	Professional		$164.00	$200.98	$241.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $175.44 / $207.45 / $475.39	Professional		$175.44	$207.45	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.07 / $176.86 / $200.98	Professional		$130.07	$176.86	$200.98
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 $164.00 / $200.98 / $393.00	Professional		$164.00	$200.98	$393.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $139.18 / $205.56	Professional		$27.64	$139.18	$205.56