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 $221.54 / $598.37 / $868.92	Professional		$221.54	$598.37	$868.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.66 / $791.91 / $1,298.56	Professional		$274.66	$791.91	$1,298.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $352.09 / $414.12 / $1,276.74	Professional		$352.09	$414.12	$1,276.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.15 / $756.86 / $983.92	Professional		$240.15	$756.86	$983.92
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 $660.98 / $946.08 / $1,218.41	Professional		$660.98	$946.08	$1,218.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $304.33 / $5,191.00	Professional		$38.34	$304.33	$5,191.00