Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $221.74 / $353.33	Professional		$131.15	$221.74	$353.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.15 / $307.87 / $424.05	Professional		$161.15	$307.87	$424.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $238.17 / $291.10 / $505.63	Professional		$238.17	$291.10	$505.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.48 / $373.16 / $474.94	Professional		$174.48	$373.16	$474.94
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 $346.02 / $424.05 / $501.84	Professional		$346.02	$424.05	$501.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $216.99 / $484.54	Professional		$61.04	$216.99	$484.54