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 $102.34 / $132.38 / $203.38	Professional		$102.34	$132.38	$203.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $236.37 / $298.64	Professional		$129.41	$236.37	$298.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $167.75 / $207.72 / $4,116.00	Professional		$167.75	$207.72	$4,116.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.02 / $262.81 / $298.64	Professional		$123.02	$262.81	$298.64
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 $243.70 / $298.64 / $408.33	Professional		$243.70	$298.64	$408.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $143.13 / $330.40	Professional		$41.63	$143.13	$330.40