Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.44 / $486.44 / $486.44	Professional		$486.44	$486.44	$486.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.48 / $678.16 / $813.80	Professional		$520.48	$678.16	$813.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $698.00 / $763.89 / $901.86	Professional		$698.00	$763.89	$901.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.78 / $651.04 / $759.54	Professional		$596.78	$651.04	$759.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.09 / $678.16 / $834.80	Professional		$492.09	$678.16	$834.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $508.24 / $718.30	Professional		$29.27	$508.24	$718.30