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 $120.73 / $229.38 / $1,013.52	Professional		$120.73	$229.38	$1,013.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.15 / $286.45 / $343.76	Professional		$227.15	$286.45	$343.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $213.95 / $362.73	Professional		$180.93	$213.95	$362.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $242.92 / $286.45	Professional		$103.69	$242.92	$286.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.75 / $284.31 / $426.41	Professional		$233.75	$284.31	$426.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.65 / $1,958.52 / $5,287.00	Professional		$183.65	$1,958.52	$5,287.00