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 $329.01 / $329.01 / $446.64	Professional		$329.01	$329.01	$446.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.48 / $583.23 / $699.87	Professional		$457.48	$583.23	$699.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $477.66 / $576.75 / $728.20	Professional		$477.66	$576.75	$728.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.03 / $494.57 / $583.23	Professional		$346.03	$494.57	$583.23
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 $439.52 / $583.23 / $758.91	Professional		$439.52	$583.23	$758.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.62 / $412.95 / $636.95	Professional		$79.62	$412.95	$636.95