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 $496.87 / $496.87 / $496.87	Professional		$496.87	$496.87	$496.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.55 / $594.55 / $610.44	Professional		$594.55	$594.55	$610.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $740.27 / $810.14 / $1,001.54	Professional		$740.27	$810.14	$1,001.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.22 / $570.78 / $665.91	Professional		$523.22	$570.78	$665.91
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 $485.16 / $638.34 / $840.41	Professional		$485.16	$638.34	$840.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $438.01 / $654.42	Professional		$29.27	$438.01	$654.42