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 $279.55 / $503.15 / $890.11	Professional		$279.55	$503.15	$890.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.38 / $684.29 / $821.15	Professional		$558.38	$684.29	$821.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $526.60 / $613.52 / $762.16	Professional		$526.60	$613.52	$762.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.18 / $547.42 / $684.29	Professional		$371.18	$547.42	$684.29
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 $534.57 / $684.29 / $1,265.46	Professional		$534.57	$684.29	$1,265.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $418.44 / $2,000.00 / $5,304.00	Professional		$418.44	$2,000.00	$5,304.00