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 $114.82 / $194.98 / $602.56	Professional		$114.82	$194.98	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $295.12	Professional		$245.47	$245.47	$295.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $7,413.10	Professional		$331.13	$407.38	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $316.23	Professional		$162.18	$269.15	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $380.19	Professional		$173.78	$275.42	$380.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $316.23 / $4,570.88	Professional		$134.90	$316.23	$4,570.88