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 $125.89 / $158.49 / $208.93	Professional		$125.89	$158.49	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $229.09	Professional		$125.89	$147.91	$229.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $5,495.41	Professional		$218.78	$288.40	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $257.04	Professional		$154.88	$204.17	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $263.03	Professional		$151.36	$186.21	$263.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $2,041.74 / $5,370.32	Professional		$169.82	$2,041.74	$5,370.32