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 $203.66 / $332.68 / $622.13	Professional		$203.66	$332.68	$622.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.07 / $496.41 / $595.70	Professional		$405.07	$496.41	$595.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $342.56 / $407.52 / $632.28	Professional		$342.56	$407.52	$632.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.82 / $397.13 / $496.41	Professional		$241.82	$397.13	$496.41
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 $387.26 / $496.41 / $943.76	Professional		$387.26	$496.41	$943.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $271.76 / $479.61	Professional		$69.13	$271.76	$479.61