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 $584.76 / $584.76 / $584.76	Professional		$584.76	$584.76	$584.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.52 / $678.33 / $813.99	Professional		$522.52	$678.33	$813.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $789.03 / $863.51 / $1,019.48	Professional		$789.03	$863.51	$1,019.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.92 / $651.19 / $759.72	Professional		$596.92	$651.19	$759.72
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 $553.51 / $678.33 / $842.70	Professional		$553.51	$678.33	$842.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $643.48 / $2,040.00 / $5,304.00	Professional		$643.48	$2,040.00	$5,304.00