Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $188.68 / $239.70	Professional		$145.94	$188.68	$239.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.23 / $260.89 / $519.29	Professional		$169.23	$260.89	$519.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.95 / $296.33 / $333.04	Professional		$251.95	$296.33	$333.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $252.87 / $331.74	Professional		$185.44	$252.87	$331.74
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 $202.98 / $293.68 / $383.51	Professional		$202.98	$293.68	$383.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $209.78 / $323.39	Professional		$40.74	$209.78	$323.39