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 $410.52 / $534.59 / $2,429.00	Professional		$410.52	$534.59	$2,429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.40 / $587.16 / $704.60	Professional		$454.40	$587.16	$704.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $650.22 / $748.13 / $917.42	Professional		$650.22	$748.13	$917.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.70 / $563.67 / $657.62	Professional		$516.70	$563.67	$657.62
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 $479.12 / $587.16 / $749.60	Professional		$479.12	$587.16	$749.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $3,104.00 / $4,305.00	Professional		$422.30	$3,104.00	$4,305.00