Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.80 / $419.87 / $497.61	Facility		$144.80	$419.87	$497.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $79.41 / $252.73	Professional		$45.08	$79.41	$252.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $91.71 / $110.06	Professional		$68.69	$91.71	$110.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $75.42 / $105.64	Professional		$63.78	$75.42	$105.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $77.77 / $91.71	Professional		$45.96	$77.77	$91.71
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 $65.20 / $89.39 / $106.55	Professional		$65.20	$89.39	$106.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $54.00 / $92.40	Professional		$29.27	$54.00	$92.40