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 $45.72 / $54.38 / $133.00	Professional		$45.72	$54.38	$133.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Facility		$59.84	$59.84	$59.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $146.58 / $207.64	Professional		$54.49	$146.58	$207.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $66.05 / $204.42	Professional		$55.85	$66.05	$204.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $128.37 / $155.79	Professional		$37.35	$128.37	$155.79
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 $137.18 / $155.79 / $205.35	Professional		$137.18	$155.79	$205.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $2,021.27 / $4,233.00	Professional		$43.93	$2,021.27	$4,233.00