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 $307.24 / $466.15 / $733.42	Professional		$307.24	$466.15	$733.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.63 / $564.67 / $677.61	Professional		$441.63	$564.67	$677.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $454.17 / $537.05 / $700.65	Professional		$454.17	$537.05	$700.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.80 / $478.84 / $564.67	Professional		$324.80	$478.84	$564.67
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 $425.70 / $564.67 / $734.18	Professional		$425.70	$564.67	$734.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $384.53 / $612.86	Professional		$76.61	$384.53	$612.86