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 $211.09 / $301.75 / $1,510.00	Professional		$211.09	$301.75	$1,510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.06 / $462.09 / $554.51	Professional		$377.06	$462.09	$554.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $372.87 / $440.92 / $569.47	Professional		$372.87	$440.92	$569.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $369.67 / $462.09	Professional		$257.83	$369.67	$462.09
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 $371.50 / $462.09 / $894.78	Professional		$371.50	$462.09	$894.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $281.52 / $443.64	Professional		$63.95	$281.52	$443.64