Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.68 / $210.95 / $2,848.00	Professional		$191.68	$210.95	$2,848.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.68 / $252.13 / $260.85	Professional		$221.68	$252.13	$260.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $330.49 / $372.43	Professional		$287.52	$330.49	$372.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $242.04 / $282.38	Professional		$221.87	$242.04	$282.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.73 / $252.13 / $332.88	Professional		$205.73	$252.13	$332.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $246.70 / $279.50	Professional		$34.94	$246.70	$279.50