Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.46 / $585.29 / $2,200.88	Facility		$521.46	$585.29	$2,200.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $100.83 / $190.61	Professional		$61.09	$100.83	$190.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.51 / $130.79 / $156.94	Professional		$98.51	$130.79	$156.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $126.93 / $152.19	Professional		$107.34	$126.93	$152.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $110.91 / $130.79	Professional		$76.67	$110.91	$130.79
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 $95.00 / $128.63 / $155.41	Professional		$95.00	$128.63	$155.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $88.40 / $133.12	Professional		$29.27	$88.40	$133.12