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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $178.61 / $214.34	Professional		$145.75	$178.61	$214.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $318.07 / $348.09 / $421.68	Professional		$318.07	$348.09	$421.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.18 / $171.47 / $200.05	Professional		$157.18	$171.47	$200.05
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 $145.75 / $178.61 / $428.42	Professional		$145.75	$178.61	$428.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $169.91 / $269.98	Professional		$24.49	$169.91	$269.98