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 $86.56 / $125.39 / $248.66	Professional		$86.56	$125.39	$248.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $189.20 / $227.04	Professional		$154.38	$189.20	$227.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $173.42 / $199.75 / $246.26	Professional		$173.42	$199.75	$246.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.31 / $166.50 / $196.77	Professional		$134.31	$166.50	$196.77
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 $151.75 / $189.20 / $345.68	Professional		$151.75	$189.20	$345.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $137.58 / $180.57	Professional		$29.27	$137.58	$180.57