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 $200.84 / $200.84 / $200.84	Professional		$200.84	$200.84	$200.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $234.60 / $281.52	Professional		$183.76	$234.60	$281.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $250.48 / $274.13 / $323.63	Professional		$250.48	$274.13	$323.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $225.22 / $262.75	Professional		$206.45	$225.22	$262.75
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 $191.43 / $234.60 / $310.85	Professional		$191.43	$234.60	$310.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $2,575.00 / $6,124.00	Professional		$212.01	$2,575.00	$6,124.00