Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $416.87	Professional		$151.36	$275.42	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $446.68	Professional		$194.98	$323.59	$446.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $2,137.96	Professional		$275.42	$338.84	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $457.09	Professional		$181.97	$363.08	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $398.11	Professional		$134.90	$257.04	$398.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $2,041.74 / $5,370.32	Professional		$223.87	$2,041.74	$5,370.32