Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $309.03	Professional		$112.20	$177.83	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $281.84	Professional		$123.03	$218.78	$281.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $4,570.88	Professional		$199.53	$245.47	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $288.40	Professional		$117.49	$229.09	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $316.23	Professional		$147.91	$229.09	$316.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $2,041.74 / $5,370.32	Professional		$204.17	$2,041.74	$5,370.32