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 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $179.16 / $179.16	Professional		$151.02	$179.16	$179.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.30 / $240.89 / $240.89	Professional		$196.30	$240.89	$240.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $283.32 / $334.32	Professional		$252.17	$283.32	$334.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.98 / $231.25 / $269.79	Professional		$211.98	$231.25	$269.79
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 $196.56 / $240.89 / $307.37	Professional		$196.56	$240.89	$307.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.64 / $1,500.00 / $3,725.00	Professional		$235.64	$1,500.00	$3,725.00