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 $434.49 / $543.26 / $2,879.26	Professional		$434.49	$543.26	$2,879.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.02 / $830.91 / $997.10	Professional		$678.02	$830.91	$997.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $805.29 / $949.41 / $1,210.81	Professional		$805.29	$949.41	$1,210.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.13 / $725.62 / $830.91	Professional		$570.13	$725.62	$830.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.02 / $830.91 / $1,585.32	Professional		$678.02	$830.91	$1,585.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $541.51 / $2,000.00 / $5,304.00	Professional		$541.51	$2,000.00	$5,304.00