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 $321.29 / $399.45 / $399.45	Professional		$321.29	$399.45	$399.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.60 / $525.03 / $525.03	Professional		$395.60	$525.03	$525.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $616.87 / $4,334.00	Professional		$72.06	$616.87	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.02 / $504.02 / $588.03	Professional		$462.02	$504.02	$588.03
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 $428.42 / $525.03 / $657.29	Professional		$428.42	$525.03	$657.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $383.26 / $697.21	Professional		$29.27	$383.26	$697.21