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 $190.81 / $287.94 / $564.39	Professional		$190.81	$287.94	$564.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.64 / $438.29 / $525.95	Professional		$357.64	$438.29	$525.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $341.70 / $404.06 / $561.98	Professional		$341.70	$404.06	$561.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.87 / $350.63 / $438.29	Professional		$236.87	$350.63	$438.29
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 $357.64 / $438.29 / $889.72	Professional		$357.64	$438.29	$889.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $271.08 / $457.01	Professional		$61.45	$271.08	$457.01