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 $202.58 / $218.63 / $336.78	Professional		$202.58	$218.63	$336.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $268.49 / $268.49	Professional		$214.04	$268.49	$268.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $303.44 / $349.14 / $4,334.00	Professional		$303.44	$349.14	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.27 / $257.75 / $300.70	Professional		$236.27	$257.75	$300.70
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 $219.09 / $268.49 / $344.09	Professional		$219.09	$268.49	$344.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $255.31 / $2,040.00 / $5,304.00	Professional		$255.31	$2,040.00	$5,304.00