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 $497.72 / $497.72 / $497.72	Professional		$497.72	$497.72	$497.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.72 / $660.91 / $793.10	Professional		$508.72	$660.91	$793.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $682.63 / $747.06 / $881.99	Professional		$682.63	$747.06	$881.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.60 / $634.48 / $740.22	Professional		$581.60	$634.48	$740.22
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 $508.64 / $660.91 / $818.10	Professional		$508.64	$660.91	$818.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $518.13 / $2,000.00 / $5,304.00	Professional		$518.13	$2,000.00	$5,304.00