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 $358.47 / $433.35 / $1,836.00	Professional		$358.47	$433.35	$1,836.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.75 / $512.46 / $614.96	Professional		$395.75	$512.46	$614.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $564.52 / $649.53 / $796.50	Professional		$564.52	$649.53	$796.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.97 / $491.96 / $573.96	Professional		$450.97	$491.96	$573.96
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 $408.38 / $512.46 / $650.03	Professional		$408.38	$512.46	$650.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $350.30 / $3,113.00 / $4,233.00	Professional		$350.30	$3,113.00	$4,233.00