Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,818.38 / $2,884.03	Facility		$245.47	$2,818.38	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $346.74	Professional		$199.53	$239.88	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $354.81	Professional		$251.19	$269.15	$354.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $2,630.27	Professional		$338.84	$389.05	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $398.11	Professional		$251.19	$316.23	$398.11
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 / $269.15 / $346.74	Professional		$181.97	$269.15	$346.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $263.03 / $346.74	Professional		$42.66	$263.03	$346.74