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 $400.17 / $646.47 / $1,007.79	Professional		$400.17	$646.47	$1,007.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.27 / $779.74 / $935.69	Professional		$636.27	$779.74	$935.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $637.40 / $742.61 / $952.17	Professional		$637.40	$742.61	$952.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.18 / $623.79 / $779.74	Professional		$464.18	$623.79	$779.74
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 $629.17 / $779.74 / $1,532.50	Professional		$629.17	$779.74	$1,532.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $496.46 / $754.99	Professional		$108.83	$496.46	$754.99