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 $408.30 / $439.96 / $545.47	Professional		$408.30	$439.96	$545.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.43 / $553.45 / $1,135.76	Professional		$470.43	$553.45	$1,135.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $592.51 / $665.70 / $801.63	Professional		$592.51	$665.70	$801.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.04 / $531.30 / $619.86	Professional		$487.04	$531.30	$619.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.94 / $553.45 / $755.21	Professional		$436.94	$553.45	$755.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $472.70 / $754.40	Professional		$29.27	$472.70	$754.40