Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.07 / $434.40 / $434.40	Professional		$359.07	$434.40	$434.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.76 / $553.66 / $597.75	Professional		$476.76	$553.66	$597.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $649.01 / $710.27 / $860.43	Professional		$649.01	$710.27	$860.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.22 / $531.52 / $620.10	Professional		$487.22	$531.52	$620.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.66 / $605.34 / $739.86	Professional		$553.66	$605.34	$739.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $536.84 / $854.79	Professional		$29.27	$536.84	$854.79