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 $528.53 / $528.53 / $528.53	Professional		$528.53	$528.53	$528.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.43 / $625.96 / $751.16	Professional		$487.43	$625.96	$751.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $684.95 / $749.60 / $884.99	Professional		$684.95	$749.60	$884.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.85 / $600.91 / $701.08	Professional		$550.85	$600.91	$701.08
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 $510.79 / $625.96 / $802.38	Professional		$510.79	$625.96	$802.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $560.34 / $2,000.00 / $5,304.00	Professional		$560.34	$2,000.00	$5,304.00