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 $275.11 / $412.55 / $647.66	Professional		$275.11	$412.55	$647.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.34 / $498.40 / $598.08	Professional		$389.34	$498.40	$598.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $401.25 / $474.48 / $621.82	Professional		$401.25	$474.48	$621.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.10 / $422.64 / $498.40	Professional		$286.10	$422.64	$498.40
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 $402.72 / $498.40 / $659.04	Professional		$402.72	$498.40	$659.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $361.19 / $4,597.00	Professional		$67.98	$361.19	$4,597.00