Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.20 / $988.00 / $2,898.00	Facility		$879.20	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $238.18 / $447.31	Professional		$94.12	$238.18	$447.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.88 / $339.59 / $407.51	Professional		$269.88	$339.59	$407.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $184.01 / $435.43	Professional		$155.61	$184.01	$435.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $287.97 / $339.59	Professional		$108.32	$287.97	$339.59
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 $277.10 / $339.59 / $433.16	Professional		$277.10	$339.59	$433.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.26 / $1,658.00 / $4,023.00	Professional		$118.26	$1,658.00	$4,023.00