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 $165.96 / $223.87 / $309.03	Professional		$165.96	$223.87	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $281.84	Professional		$213.80	$239.88	$281.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $7,943.28	Professional		$331.13	$426.58	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $269.15	Professional		$194.98	$213.80	$269.15
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 $194.98 / $275.42 / $346.74	Professional		$194.98	$275.42	$346.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $245.47 / $275.42	Professional		$33.88	$245.47	$275.42