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 $109.11 / $129.72 / $228.46	Professional		$109.11	$129.72	$228.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $298.82 / $352.56	Professional		$161.47	$298.82	$352.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $224.49 / $265.45 / $455.75	Professional		$224.49	$265.45	$455.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.54 / $310.26 / $394.87	Professional		$156.54	$310.26	$394.87
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 $287.69 / $352.56 / $481.05	Professional		$287.69	$352.56	$481.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $166.12 / $345.70	Professional		$29.27	$166.12	$345.70