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 $203.15 / $286.91 / $375.96	Professional		$203.15	$286.91	$375.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.95 / $436.21 / $523.46	Professional		$355.95	$436.21	$523.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $375.81 / $444.39 / $543.17	Professional		$375.81	$444.39	$543.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.45 / $348.97 / $436.21	Professional		$262.45	$348.97	$436.21
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 $355.95 / $436.21 / $862.36	Professional		$355.95	$436.21	$862.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $282.45 / $2,000.00 / $5,304.00	Professional		$282.45	$2,000.00	$5,304.00