Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,784.20 / $3,883.00	Facility		$1,486.00	$2,784.20	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.58 / $407.58 / $407.58	Professional		$407.58	$407.58	$407.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.63 / $815.15 / $978.18	Professional		$629.63	$815.15	$978.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $848.37 / $953.17 / $5,851.00	Professional		$848.37	$953.17	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.33 / $782.54 / $912.97	Professional		$717.33	$782.54	$912.97
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 $645.32 / $815.15 / $1,023.99	Professional		$645.32	$815.15	$1,023.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $748.31 / $2,040.00 / $5,304.00	Professional		$748.31	$2,040.00	$5,304.00