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 $33.92 / $170.34 / $250.05	Professional		$33.92	$170.34	$250.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $187.60 / $188.03	Professional		$43.20	$187.60	$188.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $69.18 / $2,278.00	Professional		$53.06	$69.18	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $165.46 / $188.03	Professional		$38.68	$165.46	$188.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $195.09 / $275.58	Professional		$153.43	$195.09	$275.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $1,958.52 / $5,287.00	Professional		$44.17	$1,958.52	$5,287.00