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 $377.59 / $387.72 / $1,442.00	Professional		$377.59	$387.72	$1,442.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.19 / $471.85 / $471.85	Professional		$370.19	$471.85	$471.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $524.34 / $603.29 / $4,334.00	Professional		$524.34	$603.29	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.23 / $452.98 / $528.47	Professional		$415.23	$452.98	$528.47
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 $385.03 / $471.85 / $600.69	Professional		$385.03	$471.85	$600.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.55 / $3,504.36 / $5,401.00	Professional		$323.55	$3,504.36	$5,401.00