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 $144.69 / $168.31 / $438.95	Professional		$144.69	$168.31	$438.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.89 / $350.35 / $420.42	Professional		$285.89	$350.35	$420.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $289.19 / $341.97 / $435.53	Professional		$289.19	$341.97	$435.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.25 / $280.27 / $350.35	Professional		$203.25	$280.27	$350.35
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 $285.89 / $350.35 / $682.24	Professional		$285.89	$350.35	$682.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $247.78 / $3,113.00	Professional		$47.62	$247.78	$3,113.00