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 $289.35 / $354.55 / $354.55	Professional		$289.35	$354.55	$354.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.50 / $474.51 / $474.51	Professional		$347.50	$474.51	$474.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $545.95 / $2,342.00	Professional		$72.06	$545.95	$2,342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.57 / $455.53 / $531.45	Professional		$417.57	$455.53	$531.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $474.51 / $607.28	Professional		$387.20	$474.51	$607.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $345.35 / $661.86	Professional		$29.27	$345.35	$661.86