Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $184.12 / $262.66	Professional		$125.00	$184.12	$262.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.26 / $286.43 / $343.71	Professional		$223.26	$286.43	$343.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $238.43 / $277.77 / $323.07	Professional		$238.43	$277.77	$323.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $242.89 / $286.43	Professional		$168.25	$242.89	$286.43
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 $214.47 / $286.43 / $351.66	Professional		$214.47	$286.43	$351.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $201.87 / $312.31	Professional		$39.04	$201.87	$312.31