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 $234.89 / $359.28 / $992.71	Professional		$234.89	$359.28	$992.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.77 / $403.46 / $484.16	Professional		$309.77	$403.46	$484.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $368.07 / $417.46 / $469.92	Professional		$368.07	$417.46	$469.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.93 / $350.36 / $403.46	Professional		$256.93	$350.36	$403.46
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 $302.97 / $403.46 / $487.61	Professional		$302.97	$403.46	$487.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $279.73 / $419.39	Professional		$52.42	$279.73	$419.39