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 $146.96 / $146.96 / $180.38	Professional		$146.96	$146.96	$180.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.78 / $295.11 / $354.14	Professional		$223.78	$295.11	$354.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.04 / $288.55 / $331.83	Professional		$251.04	$288.55	$331.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.23 / $259.70 / $295.11	Professional		$201.23	$259.70	$295.11
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 $201.02 / $288.67 / $338.82	Professional		$201.02	$288.67	$338.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $207.56 / $1,958.52 / $5,287.00	Professional		$207.56	$1,958.52	$5,287.00