Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $153.78 / $161.61	Professional		$153.78	$153.78	$161.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $207.26 / $248.72	Professional		$162.18	$207.26	$248.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $248.66 / $293.57	Professional		$227.21	$248.66	$293.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.39 / $198.97 / $232.13	Professional		$182.39	$198.97	$232.13
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 $169.13 / $207.26 / $274.79	Professional		$169.13	$207.26	$274.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.67 / $2,575.00 / $6,124.00	Professional		$198.67	$2,575.00	$6,124.00