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 $134.87 / $220.30 / $261.45	Professional		$134.87	$220.30	$261.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.44 / $310.58 / $372.71	Professional		$253.44	$310.58	$372.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $247.73 / $292.94 / $386.95	Professional		$247.73	$292.94	$386.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $248.47 / $310.58	Professional		$187.50	$248.47	$310.58
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 $264.08 / $310.58 / $396.36	Professional		$264.08	$310.58	$396.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.15 / $2,021.27 / $4,023.00	Professional		$165.15	$2,021.27	$4,023.00