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 $259.64 / $358.11 / $719.93	Professional		$259.64	$358.11	$719.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.34 / $550.73 / $660.87	Professional		$434.34	$550.73	$660.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $480.68 / $565.35 / $666.15	Professional		$480.68	$565.35	$666.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.49 / $475.22 / $550.73	Professional		$348.49	$475.22	$550.73
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 $416.82 / $550.32 / $686.00	Professional		$416.82	$550.32	$686.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $373.03 / $1,958.52 / $5,287.00	Professional		$373.03	$1,958.52	$5,287.00