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 $455.40 / $455.40 / $455.40	Professional		$455.40	$455.40	$455.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.48 / $700.91 / $841.10	Professional		$537.48	$700.91	$841.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $720.14 / $809.10 / $5,851.00	Professional		$720.14	$809.10	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.79 / $672.88 / $785.02	Professional		$616.79	$672.88	$785.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.70 / $700.91 / $855.39	Professional		$526.70	$700.91	$855.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $561.69 / $745.47	Professional		$29.27	$561.69	$745.47