Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.40 / $499.40 / $499.40	Professional		$499.40	$499.40	$499.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.24 / $735.68 / $882.81	Professional		$564.24	$735.68	$882.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $761.19 / $855.22 / $3,857.00	Professional		$761.19	$855.22	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $647.39 / $706.25 / $823.96	Professional		$647.39	$706.25	$823.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.94 / $735.68 / $938.33	Professional		$590.94	$735.68	$938.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $531.03 / $783.31	Professional		$29.27	$531.03	$783.31