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 $241.81 / $241.81 / $397.68	Professional		$241.81	$241.81	$397.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.99 / $650.73 / $780.87	Professional		$530.99	$650.73	$780.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $470.09 / $555.88 / $758.82	Professional		$470.09	$555.88	$758.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.62 / $520.58 / $650.73	Professional		$330.62	$520.58	$650.73
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 $473.49 / $650.73 / $1,221.32	Professional		$473.49	$650.73	$1,221.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $368.37 / $626.23	Professional		$90.27	$368.37	$626.23