Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $172.00 / $2,747.00	Facility		$172.00	$172.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $220.67 / $377.03	Professional		$117.36	$220.67	$377.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $259.33 / $277.66	Professional		$143.12	$259.33	$277.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $238.69 / $356.31	Professional		$201.85	$238.69	$356.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $244.34 / $310.98	Professional		$140.50	$244.34	$310.98
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 $226.57 / $277.66 / $322.76	Professional		$226.57	$277.66	$322.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $182.89 / $302.23	Professional		$34.43	$182.89	$302.23