Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.02 / $2,228.00 / $5,640.75	Facility		$662.02	$2,228.00	$5,640.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.88 / $207.16 / $992.41	Professional		$190.88	$207.16	$992.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.25 / $207.16 / $248.60	Professional		$162.25	$207.16	$248.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $247.05 / $277.57 / $8,430.00	Professional		$247.05	$277.57	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $198.88 / $232.02	Professional		$182.30	$198.88	$232.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.04 / $207.16 / $695.70	Professional		$169.04	$207.16	$695.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $2,582.96 / $6,124.00	Professional		$232.75	$2,582.96	$6,124.00