Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $263.03	Professional		$123.03	$169.82	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $234.42	Professional		$190.55	$190.55	$234.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $288.40	Professional		$223.87	$263.03	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $245.47	Professional		$131.83	$218.78	$245.47
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 $147.91 / $213.80 / $309.03	Professional		$147.91	$213.80	$309.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $158.49 / $223.87	Professional		$32.36	$158.49	$223.87