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 $201.46 / $290.10 / $579.24	Professional		$201.46	$290.10	$579.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.47 / $444.20 / $533.04	Professional		$362.47	$444.20	$533.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $317.88 / $393.61 / $545.59	Professional		$317.88	$393.61	$545.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.87 / $355.36 / $444.20	Professional		$222.87	$355.36	$444.20
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 $358.19 / $444.20 / $855.54	Professional		$358.19	$444.20	$855.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $252.18 / $426.22	Professional		$61.44	$252.18	$426.22