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 $516.91 / $516.91 / $713.35	Professional		$516.91	$516.91	$713.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.46 / $749.68 / $899.61	Professional		$580.46	$749.68	$899.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $782.26 / $878.90 / $3,857.00	Professional		$782.26	$878.90	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.71 / $719.69 / $839.64	Professional		$659.71	$719.69	$839.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.80 / $749.68 / $946.08	Professional		$588.80	$749.68	$946.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $576.99 / $805.00	Professional		$29.27	$576.99	$805.00