Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $420.80 / $2,747.00	Facility		$370.40	$420.80	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $139.59 / $459.75	Professional		$80.00	$139.59	$459.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $135.97 / $163.16	Professional		$106.32	$135.97	$163.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $150.58 / $169.46	Professional		$130.40	$150.58	$169.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $119.66 / $135.97	Professional		$89.41	$119.66	$135.97
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 $110.96 / $135.97 / $167.21	Professional		$110.96	$135.97	$167.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $136.26 / $192.00	Professional		$29.27	$136.26	$192.00