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 $109.65 / $134.90 / $169.82	Professional		$109.65	$134.90	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $162.18	Professional		$131.83	$158.49	$162.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $239.88	Professional		$177.83	$194.98	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $169.82	Professional		$125.89	$138.04	$169.82
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 $128.82 / $162.18 / $208.93	Professional		$128.82	$162.18	$208.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $2,089.30 / $5,370.32	Professional		$173.78	$2,089.30	$5,370.32