Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $281.84	Professional		$177.83	$229.09	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $309.03	Professional		$208.93	$251.19	$309.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $5,248.07	Professional		$309.03	$416.87	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $346.74	Professional		$218.78	$269.15	$346.74
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 $251.19 / $269.15 / $371.54	Professional		$251.19	$269.15	$371.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $3,630.78 / $9,120.11	Professional		$269.15	$3,630.78	$9,120.11