Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $318.39 / $318.39	Professional		$161.82	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.53 / $243.56 / $405.25	Professional		$196.53	$243.56	$405.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $454.48 / $8,902.00	Professional		$395.00	$454.48	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.34 / $233.82 / $272.79	Professional		$214.34	$233.82	$272.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $247.55 / $322.33	Professional		$198.75	$247.55	$322.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $238.72 / $533.57	Professional		$29.27	$238.72	$533.57