Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.20 / $289.60 / $615.00	Facility		$203.20	$289.60	$615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $79.40 / $386.00	Professional		$42.01	$79.40	$386.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $110.78 / $132.93	Professional		$84.31	$110.78	$132.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $97.15 / $129.63	Professional		$82.15	$97.15	$129.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $93.94 / $110.78	Professional		$43.52	$93.94	$110.78
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 $85.45 / $110.76 / $133.56	Professional		$85.45	$110.76	$133.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $70.25 / $113.40	Professional		$29.27	$70.25	$113.40