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 $424.50 / $444.58 / $444.58	Professional		$424.50	$444.58	$444.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.00 / $674.83 / $674.83	Professional		$492.00	$674.83	$674.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $701.02 / $824.73 / $929.39	Professional		$701.02	$824.73	$929.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.85 / $647.83 / $755.80	Professional		$593.85	$647.83	$755.80
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 $550.66 / $674.83 / $797.51	Professional		$550.66	$674.83	$797.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $434.55 / $654.37	Professional		$29.27	$434.55	$654.37