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 $613.99 / $613.99 / $613.99	Professional		$613.99	$613.99	$613.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.86 / $797.69 / $957.23	Professional		$613.86	$797.69	$957.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $825.69 / $903.63 / $1,066.83	Professional		$825.69	$903.63	$1,066.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.97 / $765.78 / $893.41	Professional		$701.97	$765.78	$893.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.49 / $797.69 / $993.95	Professional		$604.49	$797.69	$993.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $611.41 / $849.69	Professional		$29.27	$611.41	$849.69