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 $95.84 / $125.56 / $215.02	Professional		$95.84	$125.56	$215.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.55 / $261.68 / $354.09	Professional		$148.55	$261.68	$354.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.77 / $220.86 / $378.79	Professional		$186.77	$220.86	$378.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $311.60 / $396.58	Professional		$131.71	$311.60	$396.58
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 $288.94 / $354.09 / $451.37	Professional		$288.94	$354.09	$451.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.37 / $1,981.00 / $5,304.00	Professional		$159.37	$1,981.00	$5,304.00