Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $190.55	Professional		$102.33	$123.03	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $158.49	Professional		$134.90	$134.90	$158.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $2,691.53	Professional		$169.82	$223.87	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $181.97	Professional		$109.65	$141.25	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $199.53	Professional		$117.49	$141.25	$199.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $134.90 / $186.21	Professional		$29.51	$134.90	$186.21