Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,380.38 / $2,041.74	Facility		$794.33	$1,380.38	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $426.58	Professional		$107.15	$158.49	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $363.08	Professional		$151.36	$204.17	$363.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $5,495.41	Professional		$169.82	$213.80	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $204.17	Professional		$104.71	$181.97	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $363.08	Professional		$138.04	$173.78	$363.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,659.59 / $3,981.07	Professional		$134.90	$1,659.59	$3,981.07