Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.56 / $712.56 / $820.31	Professional		$712.56	$712.56	$820.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.82 / $653.95 / $784.74	Professional		$500.82	$653.95	$784.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $877.40 / $985.78 / $8,430.00	Professional		$877.40	$985.78	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.48 / $627.79 / $732.42	Professional		$575.48	$627.79	$732.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.62 / $653.95 / $836.46	Professional		$533.62	$653.95	$836.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $618.35 / $815.10	Professional		$86.79	$618.35	$815.10