Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $213.17 / $345.78	Professional		$97.97	$213.17	$345.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $340.31 / $399.13	Professional		$148.03	$340.31	$399.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $207.12 / $238.57 / $491.22	Professional		$207.12	$238.57	$491.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $351.23 / $447.02	Professional		$146.41	$351.23	$447.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.69 / $399.13 / $520.67	Professional		$325.69	$399.13	$520.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $176.74 / $451.65	Professional		$56.90	$176.74	$451.65