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 $332.97 / $332.97 / $526.33	Professional		$332.97	$332.97	$526.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.49 / $419.74 / $419.74	Professional		$324.49	$419.74	$419.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $447.79 / $515.22 / $6,874.20	Professional		$447.79	$515.22	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.37 / $402.95 / $470.11	Professional		$369.37	$402.95	$470.11
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 $342.51 / $419.74 / $535.98	Professional		$342.51	$419.74	$535.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $306.00 / $560.35	Professional		$29.27	$306.00	$560.35