Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $191.72 / $324.81	Professional		$125.64	$191.72	$324.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $251.45 / $301.74	Professional		$197.09	$251.45	$301.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $229.60 / $267.55	Professional		$197.08	$229.60	$267.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $213.23 / $251.45	Professional		$139.50	$213.23	$251.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $251.45 / $317.18	Professional		$195.31	$251.45	$317.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $757.00 / $4,023.00	Professional		$139.63	$757.00	$4,023.00