Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $88.67 / $142.88	Professional		$81.31	$88.67	$142.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $113.89 / $199.56	Professional		$93.43	$113.89	$199.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $159.51 / $200.45	Professional		$141.16	$159.51	$200.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $175.62 / $223.51	Professional		$107.34	$175.62	$223.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $199.56 / $211.94	Professional		$152.85	$199.56	$211.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.77 / $2,507.73 / $6,063.00	Professional		$133.77	$2,507.73	$6,063.00