Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.87 / $479.06 / $479.06	Professional		$471.87	$479.06	$479.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.42 / $624.50 / $624.50	Professional		$457.42	$624.50	$624.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $655.90 / $754.67 / $8,902.00	Professional		$655.90	$754.67	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.55 / $599.52 / $699.44	Professional		$549.55	$599.52	$699.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.59 / $624.50 / $777.03	Professional		$509.59	$624.50	$777.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $448.22 / $719.87	Professional		$29.27	$448.22	$719.87