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 $117.49 / $229.09 / $407.38	Professional		$117.49	$229.09	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $489.78	Professional		$158.49	$281.84	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $2,511.89	Professional		$199.53	$245.47	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $288.40 / $354.81	Professional		$114.82	$288.40	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $389.05	Professional		$120.23	$208.93	$389.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $269.15 / $549.54	Professional		$109.65	$269.15	$549.54