Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.75 / $511.50 / $1,084.88	Facility		$261.75	$511.50	$1,084.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $89.89 / $333.72	Professional		$57.46	$89.89	$333.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $119.31 / $143.18	Professional		$89.89	$119.31	$143.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $114.96 / $138.52	Professional		$98.67	$114.96	$138.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $101.18 / $119.31	Professional		$71.48	$101.18	$119.31
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 $86.22 / $117.30 / $141.22	Professional		$86.22	$117.30	$141.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $80.23 / $121.16	Professional		$29.27	$80.23	$121.16