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 $595.49 / $626.75 / $626.75	Professional		$595.49	$626.75	$626.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.08 / $701.33 / $715.45	Professional		$574.08	$701.33	$715.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $832.85 / $958.26 / $4,334.00	Professional		$832.85	$958.26	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.16 / $673.27 / $785.48	Professional		$617.16	$673.27	$785.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.33 / $750.76 / $920.82	Professional		$701.33	$750.76	$920.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $628.89 / $1,022.53	Professional		$29.27	$628.89	$1,022.53