Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $207.16 / $385.54	Professional		$130.96	$207.16	$385.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $358.71 / $389.99	Professional		$174.93	$358.71	$389.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $255.21 / $478.92	Professional		$206.12	$255.21	$478.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $315.67 / $401.76	Professional		$139.87	$315.67	$401.76
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 $292.70 / $358.71 / $448.79	Professional		$292.70	$358.71	$448.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $1,981.00 / $5,304.00	Professional		$266.75	$1,981.00	$5,304.00