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 $99.87 / $159.05 / $283.56	Professional		$99.87	$159.05	$283.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.05 / $225.55 / $270.66	Professional		$184.05	$225.55	$270.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $254.51 / $351.24	Professional		$211.67	$254.51	$351.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $198.48 / $225.55	Professional		$103.72	$198.48	$225.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.05 / $225.55 / $435.58	Professional		$184.05	$225.55	$435.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $113.97 / $230.23	Professional		$30.96	$113.97	$230.23