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 $206.65 / $279.37 / $404.86	Professional		$206.65	$279.37	$404.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.62 / $363.90 / $681.40	Professional		$224.62	$363.90	$681.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $368.27 / $438.12 / $508.24	Professional		$368.27	$438.12	$508.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.44 / $428.11 / $499.46	Professional		$392.44	$428.11	$499.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.88 / $445.95 / $564.63	Professional		$299.88	$445.95	$564.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.85 / $3,239.97 / $5,309.00	Professional		$234.85	$3,239.97	$5,309.00