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 $115.89 / $192.84 / $272.14	Professional		$115.89	$192.84	$272.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $283.62 / $354.34	Professional		$179.37	$283.62	$354.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $212.90 / $256.57 / $409.68	Professional		$212.90	$256.57	$409.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.84 / $311.82 / $396.86	Professional		$145.84	$311.82	$396.86
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 $289.14 / $354.34 / $466.08	Professional		$289.14	$354.34	$466.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $264.20 / $397.86	Professional		$49.73	$264.20	$397.86