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 $180.90 / $285.47 / $443.98	Professional		$180.90	$285.47	$443.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.53 / $405.06 / $486.08	Professional		$330.53	$405.06	$486.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $336.86 / $398.34 / $502.27	Professional		$336.86	$398.34	$502.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.26 / $324.05 / $405.06	Professional		$236.26	$324.05	$405.06
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 $335.53 / $405.06 / $518.25	Professional		$335.53	$405.06	$518.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $372.88 / $5,681.00	Professional		$54.92	$372.88	$5,681.00