Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.33 / $535.33 / $564.48	Professional		$535.33	$535.33	$564.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.34 / $673.89 / $808.67	Professional		$523.34	$673.89	$808.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $699.62 / $786.04 / $5,851.00	Professional		$699.62	$786.04	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.02 / $646.92 / $754.75	Professional		$593.02	$646.92	$754.75
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 $516.95 / $673.89 / $826.68	Professional		$516.95	$673.89	$826.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $641.20 / $856.47	Professional		$89.99	$641.20	$856.47