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 $199.38 / $343.49 / $426.34	Professional		$199.38	$343.49	$426.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.36 / $506.56 / $607.88	Professional		$413.36	$506.56	$607.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $380.96 / $450.49 / $633.60	Professional		$380.96	$450.49	$633.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $405.25 / $506.56	Professional		$266.70	$405.25	$506.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.36 / $506.56 / $966.14	Professional		$413.36	$506.56	$966.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.37 / $1,925.00 / $5,401.00	Professional		$251.37	$1,925.00	$5,401.00