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 $420.21 / $515.34 / $515.34	Professional		$420.21	$515.34	$515.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.98 / $718.40 / $718.40	Professional		$503.98	$718.40	$718.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $685.54 / $867.02	Professional		$72.06	$685.54	$867.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.19 / $689.66 / $804.61	Professional		$632.19	$689.66	$804.61
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 $622.73 / $718.40 / $903.60	Professional		$622.73	$718.40	$903.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $527.73 / $958.92	Professional		$29.27	$527.73	$958.92