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 $506.30 / $506.30 / $506.30	Professional		$506.30	$506.30	$506.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.34 / $615.90 / $739.08	Professional		$472.34	$615.90	$739.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $646.64 / $707.68 / $835.50	Professional		$646.64	$707.68	$835.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.99 / $591.26 / $689.81	Professional		$541.99	$591.26	$689.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.57 / $615.90 / $750.42	Professional		$502.57	$615.90	$750.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $433.19 / $652.33	Professional		$29.27	$433.19	$652.33