Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $269.15	Professional		$213.80	$229.09	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $257.04	Professional		$208.93	$257.04	$257.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $5,495.41	Professional		$309.03	$398.11	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $275.42	Professional		$204.17	$218.78	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $331.13	Professional		$208.93	$263.03	$331.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,089.30 / $5,370.32	Professional		$245.47	$2,089.30	$5,370.32