Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $127.22 / $630.74	Professional		$77.29	$127.22	$630.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.97 / $474.23 / $569.07	Professional		$386.97	$474.23	$569.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $151.21 / $2,278.00	Professional		$131.28	$151.21	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $379.38 / $474.23	Professional		$95.51	$379.38	$474.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.97 / $542.16 / $1,078.72	Professional		$386.97	$542.16	$1,078.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $87.52 / $104.17	Professional		$29.27	$87.52	$104.17