Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $288.40	Professional		$158.49	$213.80	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $269.15	Professional		$208.93	$223.87	$269.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $5,495.41	Professional		$316.23	$407.38	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $251.19	Professional		$186.21	$204.17	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $331.13	Professional		$186.21	$263.03	$331.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $229.09 / $257.04	Professional		$32.36	$229.09	$257.04