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 $347.32 / $347.32 / $347.32	Professional		$347.32	$347.32	$347.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.68 / $444.68 / $456.88	Professional		$444.68	$444.68	$456.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $539.03 / $641.26 / $4,863.00	Professional		$539.03	$641.26	$4,863.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.31 / $426.89 / $498.04	Professional		$391.31	$426.89	$498.04
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $7,425.00 / $7,425.00	Facility		$7,425.00	$7,425.00	$7,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.85 / $459.73 / $605.73	Professional		$362.85	$459.73	$605.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $459.88 / $512.10	Professional		$64.01	$459.88	$512.10