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 $249.37 / $344.94 / $454.08	Professional		$249.37	$344.94	$454.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.27 / $521.16 / $625.40	Professional		$425.27	$521.16	$625.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $535.20 / $652.32	Professional		$459.38	$535.20	$652.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.17 / $416.93 / $521.16	Professional		$317.17	$416.93	$521.16
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 $425.27 / $521.16 / $1,043.61	Professional		$425.27	$521.16	$1,043.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $370.24 / $2,000.00 / $5,304.00	Professional		$370.24	$2,000.00	$5,304.00