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 $243.77 / $336.54 / $443.52	Professional		$243.77	$336.54	$443.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.60 / $501.96 / $602.36	Professional		$409.60	$501.96	$602.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $445.55 / $519.09 / $632.67	Professional		$445.55	$519.09	$632.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.08 / $401.57 / $501.96	Professional		$310.08	$401.57	$501.96
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 $409.60 / $501.96 / $1,002.06	Professional		$409.60	$501.96	$1,002.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $353.47 / $2,000.00 / $5,304.00	Professional		$353.47	$2,000.00	$5,304.00