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 $109.65 / $151.36 / $204.17	Professional		$109.65	$151.36	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $177.83	Professional		$144.54	$144.54	$177.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $416.87	Professional		$316.23	$346.74	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $204.17	Professional		$162.18	$177.83	$204.17
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 $125.89 / $190.55 / $309.03	Professional		$125.89	$190.55	$309.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $169.82 / $269.15	Professional		$24.55	$169.82	$269.15