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 $165.96 / $208.93 / $323.59	Professional		$165.96	$208.93	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $426.58	Professional		$204.17	$245.47	$426.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $5,248.07	Professional		$269.15	$316.23	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $229.09	Professional		$181.97	$194.98	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $295.12	Professional		$181.97	$239.88	$295.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $162.18 / $323.59	Professional		$29.51	$162.18	$323.59