Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.15 / $503.03 / $893.63	Facility		$246.15	$503.03	$893.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $95.58 / $333.35	Professional		$58.60	$95.58	$333.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $108.24 / $129.88	Professional		$81.51	$108.24	$129.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $109.30 / $128.25	Professional		$92.43	$109.30	$128.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $91.79 / $108.24	Professional		$66.22	$91.79	$108.24
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 $87.22 / $107.28 / $130.74	Professional		$87.22	$107.28	$130.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $72.09 / $110.77	Professional		$29.27	$72.09	$110.77