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 $106.00 / $106.00 / $106.00	Professional		$106.00	$106.00	$106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $138.78 / $166.53	Professional		$108.47	$138.78	$166.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $172.85 / $204.07	Professional		$157.94	$172.85	$204.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.12 / $133.22 / $155.43	Professional		$122.12	$133.22	$155.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $138.78 / $184.25	Professional		$113.24	$138.78	$184.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $135.49 / $2,000.00 / $5,304.00	Professional		$135.49	$2,000.00	$5,304.00