Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $105.81 / $305.60	Professional		$101.92	$105.81	$305.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $120.91 / $133.38	Professional		$115.03	$120.91	$133.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $191.21 / $2,278.00	Professional		$163.16	$191.21	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $116.08 / $135.41	Professional		$106.40	$116.08	$135.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $140.19 / $184.65	Professional		$98.66	$140.19	$184.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $151.72 / $4,233.00	Professional		$18.96	$151.72	$4,233.00