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 $91.39 / $146.84 / $259.14	Professional		$91.39	$146.84	$259.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.44 / $305.93 / $338.14	Professional		$119.44	$305.93	$338.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $182.80 / $434.42	Professional		$154.59	$182.80	$434.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $297.56 / $378.71	Professional		$105.00	$297.56	$378.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.92 / $338.14 / $459.26	Professional		$275.92	$338.14	$459.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $114.40 / $353.28	Professional		$29.27	$114.40	$353.28