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 $159.13 / $267.63 / $520.16	Professional		$159.13	$267.63	$520.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.86 / $340.65 / $400.58	Professional		$195.86	$340.65	$400.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $290.52 / $505.58	Professional		$81.01	$290.52	$505.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.39 / $352.51 / $448.64	Professional		$171.39	$352.51	$448.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.87 / $400.58 / $510.69	Professional		$326.87	$400.58	$510.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.07 / $1,658.00 / $3,956.00	Professional		$188.07	$1,658.00	$3,956.00