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 $129.75 / $176.48 / $252.61	Professional		$129.75	$176.48	$252.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $196.58 / $196.58	Professional		$151.91	$196.58	$196.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $237.23 / $4,334.00	Professional		$206.18	$237.23	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $188.71 / $220.16	Professional		$172.99	$188.71	$220.16
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 $182.30 / $196.58 / $240.66	Professional		$182.30	$196.58	$240.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.97 / $2,582.96 / $6,124.00	Professional		$188.97	$2,582.96	$6,124.00