Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $1,486.00 / $3,883.00	Facility		$141.19	$1,486.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $197.31 / $720.00	Professional		$136.44	$197.31	$720.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $182.37 / $212.23	Professional		$151.53	$182.37	$212.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $235.04 / $268.52	Professional		$74.55	$235.04	$268.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $186.76 / $237.69	Professional		$143.84	$186.76	$237.69
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 $173.18 / $212.23 / $264.27	Professional		$173.18	$212.23	$264.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $1,500.00 / $4,023.00	Professional		$128.44	$1,500.00	$4,023.00