Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.92 / $221.92 / $355.70	Professional		$221.92	$221.92	$355.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.00 / $403.94 / $484.73	Professional		$349.00	$403.94	$484.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $323.61 / $398.45 / $475.68	Professional		$323.61	$398.45	$475.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.78 / $323.14 / $403.94	Professional		$230.78	$323.14	$403.94
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 $274.98 / $389.73 / $502.77	Professional		$274.98	$389.73	$502.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $276.14 / $471.45	Professional		$55.91	$276.14	$471.45