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 $119.33 / $159.36 / $364.73	Professional		$119.33	$159.36	$364.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.83 / $229.41 / $285.68	Professional		$178.83	$229.41	$285.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $221.72 / $259.33 / $340.06	Professional		$221.72	$259.33	$340.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.68 / $251.39 / $319.95	Professional		$153.68	$251.39	$319.95
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 $233.11 / $285.68 / $345.54	Professional		$233.11	$285.68	$345.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $189.45 / $324.10	Professional		$40.51	$189.45	$324.10