Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.50 / $988.00 / $2,898.00	Facility		$511.50	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $124.45 / $516.29	Professional		$87.18	$124.45	$516.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $180.26 / $216.32	Professional		$137.29	$180.26	$216.32
HMSA Facility/Professional Professional Modifier Low / Median / High Price $157.02 / $185.67 / $213.98	Professional		$157.02	$185.67	$213.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $152.86 / $180.26	Professional		$110.40	$152.86	$180.26
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 $135.80 / $180.26 / $220.67	Professional		$135.80	$180.26	$220.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $124.29 / $187.16	Professional		$29.27	$124.29	$187.16