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 $183.18 / $183.18 / $261.31	Professional		$183.18	$183.18	$261.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $376.70 / $452.04	Professional		$281.00	$376.70	$452.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $279.89 / $322.39 / $415.00	Professional		$279.89	$322.39	$415.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.26 / $319.44 / $376.70	Professional		$200.26	$319.44	$376.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.77 / $369.35 / $445.56	Professional		$271.77	$369.35	$445.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $236.98 / $380.11	Professional		$47.51	$236.98	$380.11