Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.85 / $864.50 / $2,898.00	Facility		$242.85	$864.50	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.62 / $316.00 / $615.15	Professional		$268.62	$316.00	$615.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.61 / $474.35 / $569.22	Professional		$386.61	$474.35	$569.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $481.56 / $527.02 / $651.52	Professional		$481.56	$527.02	$651.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.73 / $437.19 / $493.32	Professional		$384.73	$437.19	$493.32
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 $350.37 / $474.35 / $571.50	Professional		$350.37	$474.35	$571.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $378.35 / $495.55	Professional		$61.94	$378.35	$495.55