Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $191.14 / $994.83	Professional		$149.81	$191.14	$994.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $235.63	Facility		$235.63	$235.63	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $720.62 / $944.10	Professional		$187.10	$720.62	$944.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $210.24 / $259.91 / $1,033.91	Professional		$210.24	$259.91	$1,033.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $618.95 / $751.15	Professional		$139.76	$618.95	$751.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.03 / $760.14 / $1,006.59	Professional		$670.03	$760.14	$1,006.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $833.71 / $5,191.00	Professional		$117.74	$833.71	$5,191.00