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 $427.73 / $528.15 / $528.15	Professional		$427.73	$528.15	$528.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.82 / $692.08 / $692.08	Professional		$514.82	$692.08	$692.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $759.23 / $853.02 / $1,006.56	Professional		$759.23	$853.02	$1,006.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $609.03 / $664.39 / $775.12	Professional		$609.03	$664.39	$775.12
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 $564.73 / $692.08 / $901.50	Professional		$564.73	$692.08	$901.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $507.25 / $1,012.53	Professional		$29.27	$507.25	$1,012.53