Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $3,883.00	Facility		$1,486.00	$3,883.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.64 / $600.96 / $969.90	Professional		$328.64	$600.96	$969.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.85 / $745.96 / $895.16	Professional		$580.85	$745.96	$895.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $619.20 / $730.29 / $923.60	Professional		$619.20	$730.29	$923.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.63 / $632.58 / $745.96	Professional		$442.63	$632.58	$745.96
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 $586.11 / $745.96 / $959.79	Professional		$586.11	$745.96	$959.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $472.45 / $1,958.52 / $5,287.00	Professional		$472.45	$1,958.52	$5,287.00