Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.04 / $397.04 / $397.04	Professional		$397.04	$397.04	$397.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.56 / $457.56 / $495.55	Professional		$457.56	$457.56	$495.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $580.77 / $668.22 / $4,863.00	Professional		$580.77	$668.22	$4,863.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.66 / $439.26 / $512.47	Professional		$402.66	$439.26	$512.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.37 / $457.56 / $595.85	Professional		$373.37	$457.56	$595.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $462.53 / $662.69	Professional		$29.27	$462.53	$662.69