Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $870.96	Professional		$158.49	$245.47	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $346.74	Professional		$281.84	$281.84	$346.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $4,570.88	Professional		$309.03	$380.19	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $363.08	Professional		$199.53	$323.59	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $446.68	Professional		$208.93	$295.12	$446.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,041.74 / $5,370.32	Professional		$251.19	$2,041.74	$5,370.32