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 $219.64 / $318.70 / $554.20	Professional		$219.64	$318.70	$554.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.24 / $432.89 / $519.47	Professional		$353.24	$432.89	$519.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $348.03 / $400.87 / $2,278.00	Professional		$348.03	$400.87	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $346.31 / $432.89	Professional		$236.63	$346.31	$432.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.24 / $432.89 / $877.22	Professional		$353.24	$432.89	$877.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $252.64 / $422.62	Professional		$29.27	$252.64	$422.62