Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $988.00 / $2,898.00	Facility		$248.93	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $245.78 / $481.78	Professional		$198.15	$245.78	$481.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.70 / $369.08 / $442.89	Professional		$292.70	$369.08	$442.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $368.87 / $414.44 / $2,077.00	Professional		$368.87	$414.44	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.99 / $337.49 / $383.84	Professional		$296.99	$337.49	$383.84
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 $266.48 / $369.08 / $437.34	Professional		$266.48	$369.08	$437.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $284.39 / $379.60	Professional		$47.45	$284.39	$379.60