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 $130.13 / $241.10 / $256.36	Professional		$130.13	$241.10	$256.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $252.14 / $256.36	Professional		$169.90	$252.14	$256.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $188.01 / $232.31 / $323.50	Professional		$188.01	$232.31	$323.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $225.60 / $287.13	Professional		$132.38	$225.60	$287.13
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 $209.19 / $256.36 / $317.06	Professional		$209.19	$256.36	$317.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $1,658.00 / $3,956.00	Professional		$159.18	$1,658.00	$3,956.00