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 $390.66 / $442.01 / $548.39	Professional		$390.66	$442.01	$548.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.45 / $581.91 / $1,143.06	Professional		$456.45	$581.91	$1,143.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $617.62 / $693.91 / $835.60	Professional		$617.62	$693.91	$835.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.08 / $558.64 / $651.74	Professional		$512.08	$558.64	$651.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.53 / $581.91 / $774.43	Professional		$405.53	$581.91	$774.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $566.05 / $662.00	Professional		$79.45	$566.05	$662.00