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 $646.22 / $692.69 / $860.90	Professional		$646.22	$692.69	$860.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.05 / $952.56 / $1,650.47	Professional		$723.05	$952.56	$1,650.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $965.74 / $1,085.03 / $1,247.78	Professional		$965.74	$1,085.03	$1,247.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $807.77 / $914.46 / $1,066.86	Professional		$807.77	$914.46	$1,066.86
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 $694.94 / $952.56 / $1,276.71	Professional		$694.94	$952.56	$1,276.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $740.70 / $1,181.08	Professional		$29.27	$740.70	$1,181.08