Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.25 / $988.00 / $2,898.00	Facility		$618.25	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $230.99 / $630.82	Professional		$99.93	$230.99	$630.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.02 / $344.49 / $413.39	Professional		$273.02	$344.49	$413.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $167.99 / $195.72 / $440.55	Professional		$167.99	$195.72	$440.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.13 / $292.13 / $344.49	Professional		$117.13	$292.13	$344.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.10 / $344.49 / $436.98	Professional		$281.10	$344.49	$436.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $1,610.00 / $3,956.00	Professional		$127.67	$1,610.00	$3,956.00