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 $695.43 / $695.43 / $695.43	Professional		$695.43	$695.43	$695.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.79 / $822.21 / $986.66	Professional		$633.79	$822.21	$986.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $911.94 / $1,024.58 / $3,857.00	Professional		$911.94	$1,024.58	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.55 / $789.32 / $920.88	Professional		$723.55	$789.32	$920.88
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 $670.93 / $822.21 / $1,022.87	Professional		$670.93	$822.21	$1,022.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $781.40 / $2,040.00 / $5,304.00	Professional		$781.40	$2,040.00	$5,304.00