Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $309.03	Professional		$208.93	$239.88	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $302.00	Professional		$213.80	$263.03	$302.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $407.38	Professional		$309.03	$338.84	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $281.84	Professional		$199.53	$223.87	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $363.08	Professional		$181.97	$275.42	$363.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $2,691.53 / $6,165.95	Professional		$269.15	$2,691.53	$6,165.95