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 $179.93 / $297.62 / $379.87	Professional		$179.93	$297.62	$379.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.07 / $501.31 / $601.58	Professional		$409.07	$501.31	$601.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $337.77 / $399.42 / $616.07	Professional		$337.77	$399.42	$616.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.37 / $401.05 / $501.31	Professional		$238.37	$401.05	$501.31
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 $362.63 / $501.31 / $928.16	Professional		$362.63	$501.31	$928.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $260.38 / $476.06	Professional		$68.62	$260.38	$476.06