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 / $3,883.00	Facility		$1,486.00	$3,883.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $227.13 / $295.93	Professional		$90.40	$227.13	$295.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $270.02 / $317.01	Professional		$118.28	$270.02	$317.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $190.55 / $397.29	Professional		$153.88	$190.55	$397.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $278.97 / $355.05	Professional		$104.40	$278.97	$355.05
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 $291.77 / $317.01 / $412.38	Professional		$291.77	$317.01	$412.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $113.87 / $323.07	Professional		$29.27	$113.87	$323.07