Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $377.06 / $3,883.00	Facility		$87.12	$377.06	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $158.84 / $380.86	Professional		$83.33	$158.84	$380.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $133.79 / $168.70	Professional		$90.55	$133.79	$168.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $131.05 / $192.36	Professional		$107.48	$131.05	$192.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $148.46 / $188.94	Professional		$77.31	$148.46	$188.94
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 $137.66 / $168.70 / $205.86	Professional		$137.66	$168.70	$205.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $156.44 / $3,482.00	Professional		$29.27	$156.44	$3,482.00