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 $69.45 / $111.06 / $539.00	Professional		$69.45	$111.06	$539.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $167.48 / $200.97	Professional		$136.66	$167.48	$200.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $157.82 / $205.92	Professional		$133.46	$157.82	$205.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $147.38 / $174.17	Professional		$101.53	$147.38	$174.17
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 $136.47 / $167.48 / $315.27	Professional		$136.47	$167.48	$315.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $2,470.55 / $4,023.00	Professional		$89.50	$2,470.55	$4,023.00