Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,734.00 / $3,883.00	Facility		$2,747.00	$3,734.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $427.00 / $635.89	Professional		$160.41	$427.00	$635.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.23 / $648.76 / $745.44	Professional		$212.23	$648.76	$745.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $257.88 / $319.32 / $1,020.13	Professional		$257.88	$319.32	$1,020.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $570.91 / $726.61	Professional		$172.71	$570.91	$726.61
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 $529.39 / $721.16 / $1,040.63	Professional		$529.39	$721.16	$1,040.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $4,081.00 / $5,401.00	Professional		$188.44	$4,081.00	$5,401.00