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 $505.37 / $505.37 / $505.37	Professional		$505.37	$505.37	$505.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.16 / $769.88 / $923.85	Professional		$591.16	$769.88	$923.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $759.07 / $852.83 / $2,077.00	Professional		$759.07	$852.83	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.49 / $739.08 / $862.26	Professional		$677.49	$739.08	$862.26
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 $551.57 / $769.88 / $898.70	Professional		$551.57	$769.88	$898.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $474.56 / $1,159.00 / $4,035.20	Professional		$474.56	$1,159.00	$4,035.20