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 $103.21 / $156.78 / $389.68	Professional		$103.21	$156.78	$389.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $189.82 / $301.69	Professional		$121.34	$189.82	$301.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $259.13 / $323.62	Professional		$219.14	$259.13	$323.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.99 / $248.59 / $337.89	Professional		$168.99	$248.59	$337.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.18 / $301.69 / $354.39	Professional		$246.18	$301.69	$354.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $285.66 / $12,905.00	Professional		$134.66	$285.66	$12,905.00