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 $137.37 / $285.80 / $341.30	Professional		$137.37	$285.80	$341.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $338.61 / $374.19	Professional		$162.93	$338.61	$374.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $205.26 / $254.16 / $510.50	Professional		$205.26	$254.16	$510.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.08 / $329.29 / $419.09	Professional		$144.08	$329.29	$419.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.33 / $374.19 / $493.34	Professional		$305.33	$374.19	$493.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $1,958.52 / $5,287.00	Professional		$175.16	$1,958.52	$5,287.00