Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.30 / $988.00 / $2,898.00	Facility		$882.30	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $104.80 / $123.30	Professional		$24.75	$104.80	$123.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.93 / $69.93 / $241.86	Facility		$69.93	$69.93	$241.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $133.08 / $159.69	Professional		$38.54	$133.08	$159.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $73.28 / $2,286.00	Professional		$56.94	$73.28	$2,286.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $117.11 / $138.40	Professional		$40.54	$117.11	$138.40
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 $70.95 / $133.08 / $240.36	Professional		$70.95	$133.08	$240.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $121.20 / $3,113.00	Professional		$53.02	$121.20	$3,113.00