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 $153.87 / $226.52 / $830.38	Professional		$153.87	$226.52	$830.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.91 / $599.66 / $917.10	Professional		$210.91	$599.66	$917.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $299.29 / $961.79	Professional		$242.55	$299.29	$961.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.63 / $527.70 / $599.66	Professional		$179.63	$527.70	$599.66
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 $489.32 / $716.61 / $1,006.02	Professional		$489.32	$716.61	$1,006.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $206.98 / $1,030.92	Professional		$137.44	$206.98	$1,030.92