Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $864.50 / $2,898.00	Facility		$370.40	$864.50	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.16 / $334.19 / $502.44	Professional		$242.16	$334.19	$502.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.03 / $427.74 / $513.29	Professional		$349.03	$427.74	$513.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $436.87 / $478.10 / $591.04	Professional		$436.87	$478.10	$591.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.07 / $388.71 / $444.85	Professional		$342.07	$388.71	$444.85
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 $318.95 / $427.35 / $520.82	Professional		$318.95	$427.35	$520.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $336.39 / $449.56	Professional		$56.20	$336.39	$449.56