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 $167.44 / $396.14 / $599.23	Professional		$167.44	$396.14	$599.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $458.73 / $478.55	Professional		$199.00	$458.73	$478.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $253.56 / $309.91 / $630.23	Professional		$253.56	$309.91	$630.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $403.68 / $513.77	Professional		$173.92	$403.68	$513.77
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 $458.56 / $481.99 / $640.04	Professional		$458.56	$481.99	$640.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $287.55 / $551.27	Professional		$68.91	$287.55	$551.27