Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $145.28 / $145.28	Professional		$145.28	$145.28	$145.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $154.36 / $185.71	Professional		$154.36	$154.36	$185.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $195.73 / $225.21 / $7,637.00	Professional		$195.73	$225.21	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.84 / $148.19 / $172.89	Professional		$135.84	$148.19	$172.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $159.97 / $206.42	Professional		$125.96	$159.97	$206.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $2,582.96 / $6,124.00	Professional		$171.58	$2,582.96	$6,124.00