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 $232.12 / $362.86 / $517.89	Professional		$232.12	$362.86	$517.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.70 / $503.31 / $603.98	Professional		$410.70	$503.31	$603.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $407.67 / $488.75 / $637.35	Professional		$407.67	$488.75	$637.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $402.65 / $503.31	Professional		$281.83	$402.65	$503.31
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 $410.70 / $503.31 / $1,029.00	Professional		$410.70	$503.31	$1,029.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $301.68 / $483.45	Professional		$29.27	$301.68	$483.45