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 $121.36 / $146.01 / $243.92	Professional		$121.36	$146.01	$243.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.55 / $194.99 / $194.99	Professional		$157.55	$194.99	$194.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $228.82 / $4,582.80	Professional		$203.66	$228.82	$4,582.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.59 / $187.19 / $218.39	Professional		$171.59	$187.19	$218.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.11 / $194.99 / $247.53	Professional		$159.11	$194.99	$247.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $191.08 / $2,040.00 / $5,304.00	Professional		$191.08	$2,040.00	$5,304.00