Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.78 / $398.78 / $398.78	Professional		$398.78	$398.78	$398.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.17 / $615.30 / $738.38	Professional		$473.17	$615.30	$738.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $634.75 / $694.66 / $820.13	Professional		$634.75	$694.66	$820.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.48 / $590.70 / $689.15	Professional		$541.48	$590.70	$689.15
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 $474.10 / $615.30 / $763.08	Professional		$474.10	$615.30	$763.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $472.32 / $653.20	Professional		$29.27	$472.32	$653.20