Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.62 / $724.27 / $1,708.01	Professional		$283.62	$724.27	$1,708.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.89 / $785.11 / $942.14	Professional		$626.89	$785.11	$942.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $541.89 / $895.86	Professional		$74.55	$541.89	$895.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.99 / $665.78 / $785.11	Professional		$342.99	$665.78	$785.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.65 / $776.63 / $928.95	Professional		$640.65	$776.63	$928.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $406.02 / $1,958.52 / $5,287.00	Professional		$406.02	$1,958.52	$5,287.00