Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.20 / $203.20 / $735.30	Facility		$203.20	$203.20	$735.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $66.79 / $162.76	Professional		$41.29	$66.79	$162.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $124.23 / $149.07	Professional		$91.45	$124.23	$149.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $96.45 / $127.52	Professional		$81.56	$96.45	$127.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $105.34 / $124.23	Professional		$59.44	$105.34	$124.23
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 $85.75 / $119.92 / $141.12	Professional		$85.75	$119.92	$141.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $69.05 / $122.76	Professional		$29.27	$69.05	$122.76