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 $44.48 / $160.71 / $365.55	Professional		$44.48	$160.71	$365.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $351.43 / $555.19	Professional		$127.12	$351.43	$555.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $195.71 / $501.24	Professional		$162.08	$195.71	$501.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $311.17 / $427.10	Professional		$113.99	$311.17	$427.10
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 $281.42 / $381.34 / $510.30	Professional		$281.42	$381.34	$510.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $2,564.05 / $4,233.00	Professional		$140.13	$2,564.05	$4,233.00