Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $538.20 / $2,898.00	Facility		$494.00	$538.20	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $103.47 / $149.49	Professional		$65.40	$103.47	$149.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $117.73 / $141.27	Professional		$90.87	$117.73	$141.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $129.80 / $147.02	Professional		$109.76	$129.80	$147.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $100.58 / $117.73	Professional		$73.76	$100.58	$117.73
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 $93.03 / $117.73 / $149.04	Professional		$93.03	$117.73	$149.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $85.39 / $127.58	Professional		$62.19	$85.39	$127.58