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 $407.56 / $407.57 / $673.63	Professional		$407.56	$407.57	$673.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.08 / $535.19 / $535.19	Professional		$398.08	$535.19	$535.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $572.04 / $658.19 / $6,874.20	Professional		$572.04	$658.19	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.97 / $513.78 / $599.41	Professional		$470.97	$513.78	$599.41
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 $436.71 / $535.19 / $674.67	Professional		$436.71	$535.19	$674.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $524.29 / $5,885.00	Professional		$29.27	$524.29	$5,885.00