Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $196.12 / $728.94	Professional		$99.39	$196.12	$728.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.14 / $494.05 / $592.86	Professional		$403.14	$494.05	$592.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $238.18 / $810.91	Professional		$201.42	$238.18	$810.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $418.95 / $494.05	Professional		$139.18	$418.95	$494.05
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 $403.14 / $494.05 / $949.28	Professional		$403.14	$494.05	$949.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.67 / $2,650.00 / $5,675.00	Professional		$114.67	$2,650.00	$5,675.00