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 $389.30 / $389.30 / $389.30	Professional		$389.30	$389.30	$389.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.20 / $469.20 / $478.74	Professional		$469.20	$469.20	$478.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $562.84 / $615.97 / $761.50	Professional		$562.84	$615.97	$761.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.29 / $459.59 / $536.19	Professional		$421.29	$459.59	$536.19
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 $390.65 / $479.04 / $629.96	Professional		$390.65	$479.04	$629.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $350.52 / $523.72	Professional		$29.27	$350.52	$523.72