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 $220.19 / $338.74 / $642.97	Professional		$220.19	$338.74	$642.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.75 / $492.98 / $591.57	Professional		$385.75	$492.98	$591.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $386.88 / $457.49 / $616.47	Professional		$386.88	$457.49	$616.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.01 / $418.04 / $492.98	Professional		$276.01	$418.04	$492.98
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 $397.20 / $492.98 / $652.53	Professional		$397.20	$492.98	$652.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $351.76 / $539.24	Professional		$67.40	$351.76	$539.24