Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $2,818.38	Facility		$173.78	$173.78	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $302.00	Professional		$112.20	$190.55	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $275.42	Professional		$128.82	$239.88	$275.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $2,454.71	Professional		$213.80	$263.03	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $295.12	Professional		$134.90	$234.42	$295.12
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 $141.25 / $229.09 / $309.03	Professional		$141.25	$229.09	$309.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $181.97 / $302.00	Professional		$34.67	$181.97	$302.00