Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $218.78	Professional		$117.49	$204.17	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Professional		$194.98	$194.98	$229.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $3,890.45 / $5,623.41	Professional		$269.15	$3,890.45	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $194.98	Professional		$151.36	$165.96	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $263.03	Professional		$158.49	$204.17	$263.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $204.17 / $316.23	Professional		$27.54	$204.17	$316.23