Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.83 / $916.58 / $963.36	Facility		$504.83	$916.58	$963.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $81.65 / $364.97	Professional		$59.35	$81.65	$364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $101.51 / $121.82	Professional		$76.40	$101.51	$121.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $109.24 / $136.84	Professional		$93.67	$109.24	$136.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $86.08 / $101.51	Professional		$61.13	$86.08	$101.51
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 $82.83 / $101.51 / $125.43	Professional		$82.83	$101.51	$125.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $69.45 / $104.60	Professional		$29.27	$69.45	$104.60