Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.37 / $551.37 / $766.85	Professional		$551.37	$551.37	$766.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.30 / $625.30 / $695.09	Professional		$625.30	$625.30	$695.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $799.56 / $922.59 / $1,045.06	Professional		$799.56	$922.59	$1,045.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.28 / $600.29 / $700.35	Professional		$550.28	$600.29	$700.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.26 / $646.10 / $847.34	Professional		$510.26	$646.10	$847.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $645.37 / $700.06	Professional		$29.27	$645.37	$700.06