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 $557.19 / $575.30 / $660.07	Professional		$557.19	$575.30	$660.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.78 / $949.49 / $1,139.39	Professional		$774.78	$949.49	$1,139.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $972.59 / $1,139.82 / $1,265.74	Professional		$972.59	$1,139.82	$1,265.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.01 / $835.55 / $949.49	Professional		$690.01	$835.55	$949.49
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 $559.58 / $925.76 / $1,168.33	Professional		$559.58	$925.76	$1,168.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $695.84 / $1,958.52 / $5,287.00	Professional		$695.84	$1,958.52	$5,287.00