Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $203.15 / $203.15	Professional		$203.15	$203.15	$203.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.96 / $224.28 / $269.13	Professional		$175.96	$224.28	$269.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $261.68 / $294.01 / $3,857.00	Professional		$261.68	$294.01	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $215.30 / $251.19	Professional		$197.36	$215.30	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.01 / $224.28 / $271.10	Professional		$183.01	$224.28	$271.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $226.15 / $2,500.00 / $6,063.00	Professional		$226.15	$2,500.00	$6,063.00