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 $201.64 / $310.04 / $704.60	Professional		$201.64	$310.04	$704.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.35 / $504.10 / $604.91	Professional		$411.35	$504.10	$604.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $382.94 / $474.16 / $631.85	Professional		$382.94	$474.16	$631.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.81 / $403.28 / $504.10	Professional		$267.81	$403.28	$504.10
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 $408.94 / $504.10 / $985.20	Professional		$408.94	$504.10	$985.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $309.60 / $4,597.00	Professional		$69.52	$309.60	$4,597.00