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 $145.38 / $188.68 / $284.68	Professional		$145.38	$188.68	$284.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $220.61 / $264.74	Professional		$180.02	$220.61	$264.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.09 / $296.92 / $392.45	Professional		$251.09	$296.92	$392.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $187.08 / $220.61	Professional		$103.80	$187.08	$220.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $223.70 / $471.08	Professional		$180.02	$223.70	$471.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $163.38 / $375.34	Professional		$30.76	$163.38	$375.34