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 $293.75 / $293.75 / $445.37	Professional		$293.75	$293.75	$445.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.79 / $752.20 / $902.64	Professional		$613.79	$752.20	$902.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $558.29 / $650.45 / $830.26	Professional		$558.29	$650.45	$830.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.27 / $601.76 / $752.20	Professional		$427.27	$601.76	$752.20
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 $584.83 / $752.20 / $1,434.36	Professional		$584.83	$752.20	$1,434.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $470.53 / $718.31	Professional		$103.54	$470.53	$718.31