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 $483.69 / $483.69 / $483.69	Professional		$483.69	$483.69	$483.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.17 / $540.17 / $577.73	Professional		$540.17	$540.17	$577.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $686.30 / $751.08 / $928.52	Professional		$686.30	$751.08	$928.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.35 / $518.57 / $605.00	Professional		$475.35	$518.57	$605.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.78 / $543.57 / $713.84	Professional		$440.78	$543.57	$713.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $396.42 / $592.29	Professional		$29.27	$396.42	$592.29