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 $162.94 / $163.04 / $281.08	Professional		$162.94	$163.04	$281.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.39 / $227.23 / $227.23	Professional		$200.39	$227.23	$227.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $454.48 / $4,334.00	Professional		$395.00	$454.48	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $218.14 / $254.49	Professional		$199.96	$218.14	$254.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.23 / $243.98 / $315.41	Professional		$227.23	$243.98	$315.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $232.55 / $261.11	Professional		$32.64	$232.55	$261.11