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 $310.31 / $415.47 / $551.32	Professional		$310.31	$415.47	$551.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.89 / $543.45 / $1,223.68	Professional		$346.89	$543.45	$1,223.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $542.70 / $645.62 / $743.94	Professional		$542.70	$645.62	$743.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.51 / $580.25 / $729.96	Professional		$425.51	$580.25	$729.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.70 / $696.40 / $877.14	Professional		$426.70	$696.40	$877.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $452.87 / $757.19	Professional		$95.39	$452.87	$757.19