Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.80 / $364.80 / $2,747.00	Facility		$364.80	$364.80	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $46.65 / $100.27	Professional		$34.20	$46.65	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $77.91 / $93.50	Professional		$67.31	$77.91	$93.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $75.81 / $3,857.00	Professional		$64.11	$75.81	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $62.33 / $77.91	Professional		$44.44	$62.33	$77.91
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 $56.22 / $75.73 / $97.55	Professional		$56.22	$75.73	$97.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $54.28 / $83.57	Professional		$29.27	$54.28	$83.57