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 $258.24 / $309.43 / $601.98	Professional		$258.24	$309.43	$601.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.55 / $465.31 / $558.38	Professional		$365.55	$465.31	$558.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $494.72 / $2,077.00	Professional		$72.06	$494.72	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.23 / $410.49 / $483.93	Professional		$361.23	$410.49	$483.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.45 / $465.31 / $560.49	Professional		$344.45	$465.31	$560.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $426.02 / $2,594.00	Professional		$221.28	$426.02	$2,594.00