Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.27 / $411.98 / $788.56	Professional		$303.27	$411.98	$788.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.07 / $508.80 / $609.98	Professional		$401.07	$508.80	$609.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $534.57 / $632.13 / $771.57	Professional		$534.57	$632.13	$771.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.66 / $536.78 / $683.17	Professional		$373.66	$536.78	$683.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.02 / $609.98 / $755.88	Professional		$551.02	$609.98	$755.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.92 / $534.69 / $3,113.00	Professional		$302.92	$534.69	$3,113.00