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 $186.28 / $217.00 / $1,060.00	Professional		$186.28	$217.00	$1,060.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $307.88 / $369.45	Professional		$251.23	$307.88	$369.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $314.98 / $353.89 / $2,077.00	Professional		$314.98	$353.89	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.26 / $273.02 / $320.19	Professional		$240.26	$273.02	$320.19
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 $238.39 / $307.88 / $384.81	Professional		$238.39	$307.88	$384.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $253.96 / $362.14	Professional		$40.52	$253.96	$362.14