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 $33.21 / $51.70 / $71.65	Professional		$33.21	$51.70	$71.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $56.55 / $67.86	Professional		$43.20	$56.55	$67.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $63.26 / $74.52	Professional		$54.30	$63.26	$74.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $49.76 / $56.55	Professional		$36.69	$49.76	$56.55
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 $46.14 / $56.55 / $72.45	Professional		$46.14	$56.55	$72.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $45.97 / $67.83	Professional		$30.77	$45.97	$67.83