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 $171.70 / $246.16 / $400.60	Professional		$171.70	$246.16	$400.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.80 / $308.58 / $370.29	Professional		$251.80	$308.58	$370.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $241.70 / $288.52 / $475.39	Professional		$241.70	$288.52	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.86 / $246.86 / $308.58	Professional		$183.86	$246.86	$308.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $281.22 / $388.10	Professional		$177.66	$281.22	$388.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $191.74 / $310.36	Professional		$41.73	$191.74	$310.36