Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.45 / $629.79 / $1,088.40	Professional		$360.45	$629.79	$1,088.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.12 / $827.35 / $992.82	Professional		$675.12	$827.35	$992.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $646.77 / $800.50 / $2,540.00	Professional		$646.77	$800.50	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.97 / $661.88 / $827.35	Professional		$445.97	$661.88	$827.35
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 $675.12 / $827.35 / $1,708.52	Professional		$675.12	$827.35	$1,708.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.15 / $606.40 / $4,081.00	Professional		$114.15	$606.40	$4,081.00