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 $387.62 / $483.80 / $534.91	Professional		$387.62	$483.80	$534.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.72 / $603.83 / $724.59	Professional		$492.72	$603.83	$724.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $575.74 / $677.16 / $793.34	Professional		$575.74	$677.16	$793.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.04 / $531.37 / $603.83	Professional		$414.04	$531.37	$603.83
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 $492.72 / $603.83 / $822.23	Professional		$492.72	$603.83	$822.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $497.75 / $750.99	Professional		$82.08	$497.75	$750.99