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 $179.87 / $263.32 / $496.84	Professional		$179.87	$263.32	$496.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.30 / $387.63 / $465.15	Professional		$316.30	$387.63	$465.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $372.72 / $2,278.00	Professional		$323.58	$372.72	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $310.10 / $387.63	Professional		$204.97	$310.10	$387.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.30 / $387.63 / $796.34	Professional		$316.30	$387.63	$796.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $225.96 / $386.22	Professional		$29.27	$225.96	$386.22