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 $140.26 / $192.49 / $269.20	Professional		$140.26	$192.49	$269.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.48 / $305.45 / $305.45	Professional		$250.48	$305.45	$305.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $370.14 / $6,874.20	Professional		$321.70	$370.14	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.81 / $293.24 / $342.12	Professional		$268.81	$293.24	$342.12
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 $249.26 / $305.45 / $392.18	Professional		$249.26	$305.45	$392.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $301.77 / $2,040.00 / $5,304.00	Professional		$301.77	$2,040.00	$5,304.00