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 $131.66 / $215.67 / $350.46	Professional		$131.66	$215.67	$350.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.59 / $267.88 / $321.45	Professional		$218.59	$267.88	$321.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $202.91 / $239.94 / $335.12	Professional		$202.91	$239.94	$335.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.75 / $214.30 / $267.88	Professional		$153.75	$214.30	$267.88
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 $216.78 / $267.88 / $504.74	Professional		$216.78	$267.88	$504.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $160.97 / $272.52	Professional		$36.64	$160.97	$272.52