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 $154.07 / $154.07 / $319.44	Professional		$154.07	$154.07	$319.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.92 / $352.91 / $423.50	Professional		$304.92	$352.91	$423.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $219.36 / $259.39 / $2,077.00	Professional		$219.36	$259.39	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $282.33 / $352.91	Professional		$155.62	$282.33	$352.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.67 / $335.38 / $455.31	Professional		$248.67	$335.38	$455.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.72 / $1,958.52 / $5,287.00	Professional		$185.72	$1,958.52	$5,287.00