Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $275.42 / $389.05	Facility		$229.09	$275.42	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $204.17	Professional		$44.67	$72.44	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $102.33	Professional		$58.88	$79.43	$102.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $2,344.23	Professional		$81.28	$93.33	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $114.82	Professional		$56.23	$93.33	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $100.00	Professional		$41.69	$79.43	$100.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $66.07 / $97.72	Professional		$29.51	$66.07	$97.72