Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $175.07 / $451.63	Professional		$170.45	$175.07	$451.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.73 / $468.08 / $475.44	Professional		$199.73	$468.08	$475.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $254.25 / $314.32 / $612.77	Professional		$254.25	$314.32	$612.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $418.39 / $532.49	Professional		$178.00	$418.39	$532.49
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 $387.96 / $478.41 / $669.63	Professional		$387.96	$478.41	$669.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $216.96 / $561.25	Professional		$70.16	$216.96	$561.25