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 $217.21 / $240.60 / $338.91	Professional		$217.21	$240.60	$338.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.32 / $370.50 / $378.63	Professional		$264.32	$370.50	$378.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $394.74 / $466.14	Professional		$318.80	$394.74	$466.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.72 / $333.19 / $424.06	Professional		$227.72	$333.19	$424.06
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 $308.95 / $378.63 / $498.18	Professional		$308.95	$378.63	$498.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $269.91 / $407.73	Professional		$50.97	$269.91	$407.73