Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,818.38 / $2,884.03	Facility		$616.60	$2,818.38	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $229.09 / $707.95	Professional		$102.33	$229.09	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $389.05	Professional		$125.89	$281.84	$389.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $2,137.96	Professional		$177.83	$218.78	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $309.03 / $389.05	Professional		$107.15	$309.03	$389.05
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 $89.13 / $218.78 / $398.11	Professional		$89.13	$218.78	$398.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,659.59 / $3,981.07	Professional		$128.82	$1,659.59	$3,981.07