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 $125.68 / $194.00 / $263.43	Professional		$125.68	$194.00	$263.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $245.20 / $498.15	Professional		$144.51	$245.20	$498.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $214.02 / $254.61 / $359.06	Professional		$214.02	$254.61	$359.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.06 / $233.84 / $320.95	Professional		$154.06	$233.84	$320.95
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 $201.38 / $286.56 / $365.39	Professional		$201.38	$286.56	$365.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $190.40 / $314.07	Professional		$39.26	$190.40	$314.07