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 $551.46 / $551.46 / $551.46	Professional		$551.46	$551.46	$551.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.55 / $738.41 / $886.10	Professional		$569.55	$738.41	$886.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $765.33 / $837.57 / $988.85	Professional		$765.33	$837.57	$988.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.79 / $708.88 / $827.02	Professional		$649.79	$708.88	$827.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.72 / $738.41 / $920.21	Professional		$573.72	$738.41	$920.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $589.41 / $2,000.00 / $5,304.00	Professional		$589.41	$2,000.00	$5,304.00