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 / $165.96 / $234.42	Professional		$125.89	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $263.03	Professional		$134.90	$158.49	$263.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $263.03 / $5,495.41	Professional		$95.50	$263.03	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $263.03	Professional		$147.91	$208.93	$263.03
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 $162.18 / $213.80 / $288.40	Professional		$162.18	$213.80	$288.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $2,041.74 / $5,370.32	Professional		$199.53	$2,041.74	$5,370.32