Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.00 / $2,898.00 / $5,593.44	Facility		$1,449.00	$2,898.00	$5,593.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $193.57 / $290.27	Professional		$176.97	$193.57	$290.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $209.38 / $236.54	Professional		$174.80	$209.38	$236.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $386.33 / $386.33 / $386.33	Professional		$386.33	$386.33	$386.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.25 / $201.00 / $234.50	Professional		$184.25	$201.00	$234.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.38 / $209.38 / $274.07	Professional		$209.38	$209.38	$274.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $204.07 / $229.13	Professional		$28.64	$204.07	$229.13