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 $72.09 / $87.39 / $212.20	Professional		$72.09	$87.39	$212.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $164.09 / $196.91	Professional		$133.90	$164.09	$196.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $115.05 / $132.52 / $227.17	Professional		$115.05	$132.52	$227.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $139.15 / $164.09	Professional		$63.45	$139.15	$164.09
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 $133.90 / $164.09 / $225.71	Professional		$133.90	$164.09	$225.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $89.86 / $197.15	Professional		$59.67	$89.86	$197.15