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 $101.09 / $154.93 / $214.55	Professional		$101.09	$154.93	$214.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $204.14 / $426.59	Professional		$123.46	$204.14	$426.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $206.76 / $291.89	Professional		$173.80	$206.76	$291.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $201.95 / $277.19	Professional		$125.40	$201.95	$277.19
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 $166.68 / $247.49 / $311.42	Professional		$166.68	$247.49	$311.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $151.44 / $269.82	Professional		$33.99	$151.44	$269.82