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 $265.16 / $399.63 / $740.05	Professional		$265.16	$399.63	$740.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.85 / $575.79 / $690.96	Professional		$469.85	$575.79	$690.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $497.91 / $588.78 / $714.96	Professional		$497.91	$588.78	$714.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.99 / $460.64 / $575.79	Professional		$343.99	$460.64	$575.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.05 / $575.79 / $1,146.08	Professional		$469.05	$575.79	$1,146.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.94 / $1,981.00 / $5,304.00	Professional		$331.94	$1,981.00	$5,304.00