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 $410.52 / $436.18 / $1,936.00	Professional		$410.52	$436.18	$1,936.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.40 / $585.76 / $702.92	Professional		$454.40	$585.76	$702.92
HMSA Facility/Professional Professional Modifier Low / Median / High Price $650.76 / $748.76 / $918.19	Professional		$650.76	$748.76	$918.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $515.47 / $562.33 / $656.05	Professional		$515.47	$562.33	$656.05
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 $477.98 / $585.76 / $746.49	Professional		$477.98	$585.76	$746.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $634.20 / $5,885.00	Professional		$79.28	$634.20	$5,885.00