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 $145.62 / $220.84 / $262.44	Professional		$145.62	$220.84	$262.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.63 / $272.54 / $285.88	Professional		$175.63	$272.54	$285.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $281.58 / $388.85	Professional		$227.66	$281.58	$388.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $251.57 / $320.18	Professional		$159.18	$251.57	$320.18
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 $233.27 / $285.88 / $363.06	Professional		$233.27	$285.88	$363.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $1,958.52 / $5,287.00	Professional		$173.02	$1,958.52	$5,287.00