Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.31 / $278.58 / $286.00	Professional		$235.31	$278.58	$286.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.04 / $395.88 / $475.05	Professional		$342.04	$395.88	$475.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $394.07 / $453.91 / $4,284.89	Professional		$394.07	$453.91	$4,284.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.23 / $348.37 / $395.88	Professional		$277.23	$348.37	$395.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $381.98 / $509.00	Professional		$289.70	$381.98	$509.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $299.49 / $427.40	Professional		$53.43	$299.49	$427.40