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 $112.20 / $154.88 / $223.87	Professional		$112.20	$154.88	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $213.80	Professional		$109.65	$151.36	$213.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $251.19	Professional		$186.21	$229.09	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $223.87	Professional		$120.23	$177.83	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $239.88	Professional		$131.83	$177.83	$239.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,995.26 / $5,370.32	Professional		$134.90	$1,995.26	$5,370.32