Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $883.20 / $883.20	Facility		$883.20	$883.20	$883.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $148.94 / $191.22	Professional		$93.98	$148.94	$191.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $165.71 / $198.86	Professional		$127.46	$165.71	$198.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $155.51 / $179.50 / $220.63	Professional		$155.51	$179.50	$220.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $145.83 / $165.71	Professional		$107.40	$145.83	$165.71
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 $135.22 / $165.71 / $211.13	Professional		$135.22	$165.71	$211.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $125.30 / $176.24	Professional		$29.27	$125.30	$176.24