Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.66 / $244.13 / $1,172.00	Professional		$155.66	$244.13	$1,172.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.35 / $343.56 / $412.28	Professional		$280.35	$343.56	$412.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $345.99 / $475.39	Professional		$292.58	$345.99	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.22 / $274.85 / $343.56	Professional		$204.22	$274.85	$343.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.35 / $343.56 / $449.01	Professional		$280.35	$343.56	$449.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $2,000.00 / $5,304.00	Professional		$232.12	$2,000.00	$5,304.00