Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.38 / $538.20 / $1,215.00	Facility		$453.38	$538.20	$1,215.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $116.56 / $439.00	Professional		$62.56	$116.56	$439.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $131.26 / $157.52	Professional		$99.07	$131.26	$157.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $126.87 / $153.69	Professional		$108.89	$126.87	$153.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $111.31 / $131.26	Professional		$77.08	$111.31	$131.26
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 $95.60 / $129.94 / $156.38	Professional		$95.60	$129.94	$156.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $85.39 / $134.43	Professional		$29.27	$85.39	$134.43