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 $192.52 / $228.02 / $294.33	Professional		$192.52	$228.02	$294.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $266.25 / $291.91	Professional		$217.82	$266.25	$291.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $340.97 / $461.81	Professional		$296.02	$340.97	$461.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.41 / $263.97 / $326.94	Professional		$207.41	$263.97	$326.94
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 $272.35 / $291.91 / $364.67	Professional		$272.35	$291.91	$364.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $209.43 / $1,958.52 / $5,287.00	Professional		$209.43	$1,958.52	$5,287.00