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 $112.20 / $181.97 / $489.78	Professional		$112.20	$181.97	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $229.09	Professional		$186.21	$186.21	$229.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $2,454.71	Professional		$223.87	$275.42	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $245.47	Professional		$147.91	$204.17	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $288.40	Professional		$128.82	$186.21	$288.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $199.53 / $3,981.07	Professional		$30.90	$199.53	$3,981.07