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 $158.49 / $1,412.54 / $2,398.83	Professional		$158.49	$1,412.54	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $2,137.96 / $2,344.23	Professional		$165.96	$2,137.96	$2,344.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $2,137.96 / $3,162.28	Professional		$257.04	$2,137.96	$3,162.28
HMSA Facility/Professional Professional Modifier AS Low / Median / High Price $42.66 / $50.12 / $537.03	Professional	AS	$42.66	$50.12	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,778.28 / $2,238.72	Professional		$147.91	$1,778.28	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,778.28 / $2,951.21	Professional		$204.17	$1,778.28	$2,951.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $2,754.23	Professional		$154.88	$213.80	$2,754.23