Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.31 / $249.11 / $249.11	Professional		$247.31	$249.11	$249.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.09 / $314.81 / $314.81	Professional		$240.09	$314.81	$314.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $337.78 / $388.65 / $6,874.20	Professional		$337.78	$388.65	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.04 / $302.22 / $352.59	Professional		$277.04	$302.22	$352.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.70 / $314.81 / $402.15	Professional		$305.70	$314.81	$402.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $344.88 / $3,113.00	Professional		$43.45	$344.88	$3,113.00