Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.69 / $1,486.00 / $3,883.00	Facility		$362.69	$1,486.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $113.15 / $209.38	Professional		$98.64	$113.15	$209.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $129.44 / $188.09	Professional		$109.39	$129.44	$188.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $212.40 / $2,342.00	Professional		$184.60	$212.40	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $180.56 / $210.66	Professional		$143.85	$180.56	$210.66
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 $153.47 / $188.09 / $210.35	Professional		$153.47	$188.09	$210.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $146.37 / $210.69	Professional		$29.27	$146.37	$210.69