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 $93.92 / $142.84 / $680.00	Professional		$93.92	$142.84	$680.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $209.41 / $251.30	Professional		$170.88	$209.41	$251.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $175.59 / $207.64 / $262.18	Professional		$175.59	$207.64	$262.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $184.28 / $209.41	Professional		$133.21	$184.28	$209.41
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 $170.88 / $209.41 / $400.96	Professional		$170.88	$209.41	$400.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $2,021.27 / $4,035.20	Professional		$118.66	$2,021.27	$4,035.20