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 $26.44 / $152.86 / $795.20	Professional		$26.44	$152.86	$795.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.31 / $333.85 / $364.89	Professional		$175.31	$333.85	$364.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $257.86 / $441.99	Professional		$208.25	$257.86	$441.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $293.79 / $373.91	Professional		$142.11	$293.79	$373.91
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 $272.42 / $333.85 / $417.54	Professional		$272.42	$333.85	$417.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $244.76 / $1,981.00 / $5,304.00	Professional		$244.76	$1,981.00	$5,304.00