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 $187.75 / $299.94 / $853.48	Professional		$187.75	$299.94	$853.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.98 / $384.12 / $445.91	Professional		$226.98	$384.12	$445.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $288.63 / $336.89 / $569.13	Professional		$288.63	$336.89	$569.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.54 / $392.40 / $499.42	Professional		$194.54	$392.40	$499.42
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 $363.86 / $445.91 / $569.78	Professional		$363.86	$445.91	$569.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $216.52 / $1,174.00 / $3,956.00	Professional		$216.52	$1,174.00	$3,956.00