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 $46.19 / $69.17 / $189.56	Professional		$46.19	$69.17	$189.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $81.79	Facility		$81.79	$81.79	$81.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $148.31 / $226.15	Professional		$62.56	$148.31	$226.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $86.83 / $215.20	Professional		$73.43	$86.83	$215.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $122.21 / $148.31	Professional		$49.98	$122.21	$148.31
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 $148.31 / $157.03 / $232.25	Professional		$148.31	$157.03	$232.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $65.02 / $208.68	Professional		$29.27	$65.02	$208.68