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 $227.25 / $346.81 / $704.95	Professional		$227.25	$346.81	$704.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $561.28 / $673.53	Professional		$458.00	$561.28	$673.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $445.20 / $526.45 / $689.11	Professional		$445.20	$526.45	$689.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $449.02 / $561.28	Professional		$308.72	$449.02	$561.28
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 $458.00 / $561.28 / $1,084.72	Professional		$458.00	$561.28	$1,084.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $353.19 / $532.72	Professional		$76.79	$353.19	$532.72