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 $197.43 / $197.43 / $240.49	Professional		$197.43	$197.43	$240.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.42 / $329.79 / $395.75	Professional		$255.42	$329.79	$395.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $357.45 / $395.41	Professional		$305.20	$357.45	$395.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.31 / $288.14 / $329.79	Professional		$211.31	$288.14	$329.79
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 $245.70 / $329.79 / $395.91	Professional		$245.70	$329.79	$395.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $258.41 / $3,113.00	Professional		$45.47	$258.41	$3,113.00