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 $169.82 / $213.80 / $295.12	Professional		$169.82	$213.80	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $316.23	Professional		$169.82	$204.17	$316.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $7,943.28	Professional		$302.00	$354.81	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $331.13	Professional		$186.21	$257.04	$331.13
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 $208.93 / $257.04 / $363.08	Professional		$208.93	$257.04	$363.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $2,041.74 / $5,370.32	Professional		$229.09	$2,041.74	$5,370.32