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 $279.81 / $395.48 / $2,020.00	Professional		$279.81	$395.48	$2,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.88 / $641.30 / $769.58	Professional		$502.88	$641.30	$769.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $529.53 / $622.82 / $748.52	Professional		$529.53	$622.82	$748.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.29 / $543.83 / $641.30	Professional		$385.29	$543.83	$641.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.77 / $641.30 / $780.87	Professional		$475.77	$641.30	$780.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.13 / $1,958.52 / $5,287.00	Professional		$407.13	$1,958.52	$5,287.00