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 $404.70 / $404.70 / $733.70	Professional		$404.70	$404.70	$733.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.22 / $829.31 / $995.18	Professional		$646.22	$829.31	$995.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $574.44 / $679.27 / $1,018.54	Professional		$574.44	$679.27	$1,018.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.18 / $703.26 / $829.31	Professional		$414.18	$703.26	$829.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.72 / $810.64 / $1,126.52	Professional		$676.72	$810.64	$1,126.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $472.72 / $2,000.00 / $5,304.00	Professional		$472.72	$2,000.00	$5,304.00