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 $150.53 / $159.80 / $295.67	Professional		$150.53	$159.80	$295.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.19 / $310.29 / $372.35	Professional		$253.19	$310.29	$372.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $283.50 / $335.24 / $475.39	Professional		$283.50	$335.24	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $260.62 / $310.29	Professional		$204.78	$260.62	$310.29
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 $253.19 / $310.29 / $597.64	Professional		$253.19	$310.29	$597.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $216.70 / $2,000.00 / $5,304.00	Professional		$216.70	$2,000.00	$5,304.00