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 $296.76 / $476.57 / $837.80	Professional		$296.76	$476.57	$837.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $646.20 / $775.44	Professional		$527.29	$646.20	$775.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $482.16 / $561.74 / $720.70	Professional		$482.16	$561.74	$720.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.30 / $516.96 / $646.20	Professional		$348.30	$516.96	$646.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.93 / $646.20 / $1,218.04	Professional		$510.93	$646.20	$1,218.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $387.62 / $621.86	Professional		$89.64	$387.62	$621.86