Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.66 / $390.11 / $390.11	Professional		$372.66	$390.11	$390.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.46 / $607.42 / $607.42	Professional		$431.46	$607.42	$607.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $615.37 / $723.96 / $815.83	Professional		$615.37	$723.96	$815.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.53 / $583.13 / $680.32	Professional		$534.53	$583.13	$680.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.66 / $607.42 / $700.19	Professional		$495.66	$607.42	$700.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $381.45 / $574.41	Professional		$29.27	$381.45	$574.41