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 $214.26 / $262.58 / $315.08	Professional		$214.26	$262.58	$315.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $249.91 / $309.27	Professional		$213.81	$249.91	$309.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $210.06 / $262.58	Professional		$156.66	$210.06	$262.58
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 $214.26 / $262.58 / $534.96	Professional		$214.26	$262.58	$534.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $169.62 / $252.18	Professional		$36.35	$169.62	$252.18