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 $125.73 / $125.73 / $125.73	Professional		$125.73	$125.73	$125.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $178.72 / $219.84	Professional		$126.59	$178.72	$219.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.87 / $185.91 / $219.49	Professional		$169.87	$185.91	$219.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $175.87 / $205.18	Professional		$161.22	$175.87	$205.18
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 $131.28 / $171.37 / $208.88	Professional		$131.28	$171.37	$208.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $2,000.00 / $5,304.00	Professional		$140.44	$2,000.00	$5,304.00