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 $110.94 / $252.25 / $723.19	Professional		$110.94	$252.25	$723.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $327.23 / $364.25	Professional		$175.06	$327.23	$364.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $252.81 / $432.08	Professional		$204.17	$252.81	$432.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.96 / $287.95 / $366.49	Professional		$139.96	$287.95	$366.49
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 $267.02 / $327.23 / $400.49	Professional		$267.02	$327.23	$400.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.38 / $1,415.00 / $3,725.00	Professional		$235.38	$1,415.00	$3,725.00