Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.03 / $586.28 / $2,898.00	Facility		$503.03	$586.28	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $151.09 / $516.00	Professional		$95.75	$151.09	$516.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $195.89 / $235.07	Professional		$149.93	$195.89	$235.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $198.43 / $241.28	Professional		$167.81	$198.43	$241.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.15 / $166.11 / $195.89	Professional		$115.15	$166.11	$195.89
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 $159.84 / $195.89 / $237.69	Professional		$159.84	$195.89	$237.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $143.19 / $9,057.00	Professional		$95.09	$143.19	$9,057.00