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 $141.29 / $143.10 / $201.19	Professional		$141.29	$143.10	$201.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $228.24 / $258.60	Professional		$168.78	$228.24	$258.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $273.80 / $318.76	Professional		$221.13	$273.80	$318.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $227.57 / $289.63	Professional		$156.84	$227.57	$289.63
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 $211.02 / $258.60 / $319.67	Professional		$211.02	$258.60	$319.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.06 / $1,958.52 / $5,287.00	Professional		$168.06	$1,958.52	$5,287.00