Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.64 / $273.00 / $709.05	Facility		$262.64	$273.00	$709.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $125.92 / $505.73	Professional		$101.06	$125.92	$505.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $187.35 / $224.82	Professional		$143.97	$187.35	$224.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $178.34 / $205.41 / $239.25	Professional		$178.34	$205.41	$239.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $164.87 / $187.35	Professional		$121.95	$164.87	$187.35
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 $147.37 / $187.35 / $233.04	Professional		$147.37	$187.35	$233.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $135.53 / $199.26	Professional		$29.27	$135.53	$199.26