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 $192.16 / $296.76 / $1,035.00	Professional		$192.16	$296.76	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $247.84 / $247.84	Professional		$195.52	$247.84	$247.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $284.74 / $327.62 / $4,334.00	Professional		$284.74	$327.62	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.10 / $237.92 / $277.58	Professional		$218.10	$237.92	$277.58
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 $202.24 / $247.84 / $316.41	Professional		$202.24	$247.84	$316.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $2,040.00 / $5,304.00	Professional		$235.83	$2,040.00	$5,304.00