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 $139.79 / $150.44 / $182.32	Professional		$139.79	$150.44	$182.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $191.76 / $346.71	Professional		$157.44	$191.76	$346.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $234.09 / $263.01 / $316.70	Professional		$234.09	$263.01	$316.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $178.01 / $207.68	Professional		$163.16	$178.01	$207.68
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 $151.31 / $187.48 / $273.02	Professional		$151.31	$187.48	$273.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $182.40 / $204.80	Professional		$25.60	$182.40	$204.80