Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,742.00 / $5,484.00	Facility		$1,924.00	$2,742.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.22 / $446.98 / $769.17	Professional		$431.22	$446.98	$769.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.20 / $608.09 / $729.71	Professional		$496.20	$608.09	$729.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $710.84 / $777.94 / $942.41	Professional		$710.84	$777.94	$942.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.12 / $583.76 / $681.06	Professional		$535.12	$583.76	$681.06
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 $496.20 / $608.09 / $1,265.04	Professional		$496.20	$608.09	$1,265.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $432.54 / $605.55	Professional		$29.27	$432.54	$605.55