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 $100.73 / $135.29 / $197.57	Professional		$100.73	$135.29	$197.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $243.49 / $281.68	Professional		$156.62	$243.49	$281.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $202.59 / $239.56 / $345.25	Professional		$202.59	$239.56	$345.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $247.87 / $315.48	Professional		$141.99	$247.87	$315.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.85 / $281.68 / $347.91	Professional		$229.85	$281.68	$347.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.88 / $1,981.00 / $5,304.00	Professional		$172.88	$1,981.00	$5,304.00