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 $99.22 / $139.34 / $198.62	Professional		$99.22	$139.34	$198.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $246.18 / $271.14	Professional		$153.90	$246.18	$271.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $245.12 / $344.61	Professional		$207.29	$245.12	$344.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.03 / $238.61 / $303.69	Professional		$147.03	$238.61	$303.69
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 $221.26 / $271.14 / $349.26	Professional		$221.26	$271.14	$349.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $200.17 / $301.43	Professional		$37.68	$200.17	$301.43