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 $235.63 / $366.92 / $1,500.00	Professional		$235.63	$366.92	$1,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.11 / $462.68 / $555.21	Professional		$355.11	$462.68	$555.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $476.18 / $521.12 / $615.25	Professional		$476.18	$521.12	$615.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.15 / $444.17 / $518.20	Professional		$407.15	$444.17	$518.20
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 $373.93 / $462.68 / $567.89	Professional		$373.93	$462.68	$567.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.41 / $2,040.00 / $5,304.00	Professional		$436.41	$2,040.00	$5,304.00