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 $557.08 / $710.28 / $3,488.00	Professional		$557.08	$710.28	$3,488.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.86 / $991.25 / $1,189.50	Professional		$808.86	$991.25	$1,189.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $994.13 / $1,145.39 / $5,349.00	Professional		$994.13	$1,145.39	$5,349.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.87 / $872.30 / $991.25	Professional		$703.87	$872.30	$991.25
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 $808.86 / $991.25 / $1,943.62	Professional		$808.86	$991.25	$1,943.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $662.75 / $2,000.00 / $5,304.00	Professional		$662.75	$2,000.00	$5,304.00