Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $125.42 / $825.74	Professional		$99.94	$125.42	$825.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $827.26 / $950.78	Professional		$165.44	$827.26	$950.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $201.81 / $232.45 / $1,270.35	Professional		$201.81	$232.45	$1,270.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $727.99 / $926.53	Professional		$133.13	$727.99	$926.53
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 $675.05 / $917.73 / $1,343.64	Professional		$675.05	$917.73	$1,343.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $144.77 / $916.34	Professional		$29.27	$144.77	$916.34