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 $62.58 / $143.94 / $226.26	Professional		$62.58	$143.94	$226.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $213.58 / $400.35	Professional		$82.31	$213.58	$400.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $132.44 / $325.50	Professional		$112.60	$132.44	$325.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $225.07 / $308.92	Professional		$78.78	$225.07	$308.92
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 $180.42 / $273.05 / $348.78	Professional		$180.42	$273.05	$348.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $97.35 / $314.36	Professional		$39.60	$97.35	$314.36