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 $161.91 / $235.00 / $315.36	Professional		$161.91	$235.00	$315.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.54 / $313.10 / $598.99	Professional		$203.54	$313.10	$598.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $299.32 / $427.27	Professional		$74.55	$299.32	$427.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $271.75 / $372.99	Professional		$183.50	$271.75	$372.99
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 $257.10 / $333.03 / $449.63	Professional		$257.10	$333.03	$449.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $202.09 / $3,857.70 / $6,172.00	Professional		$202.09	$3,857.70	$6,172.00