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 $135.08 / $156.33 / $156.33	Professional		$135.08	$156.33	$156.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $203.68 / $208.81	Professional		$175.13	$203.68	$208.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $242.02 / $283.63 / $5,879.00	Professional		$242.02	$283.63	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.23 / $195.53 / $228.12	Professional		$179.23	$195.53	$228.12
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 $166.20 / $212.81 / $278.48	Professional		$166.20	$212.81	$278.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $207.33 / $2,040.00 / $5,304.00	Professional		$207.33	$2,040.00	$5,304.00