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 $264.86 / $264.86 / $264.86	Professional		$264.86	$264.86	$264.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.89 / $337.14 / $404.57	Professional		$260.89	$337.14	$404.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $351.55 / $394.98 / $2,077.00	Professional		$351.55	$394.98	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.68 / $323.64 / $377.59	Professional		$296.68	$323.64	$377.59
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 $262.31 / $337.14 / $424.71	Professional		$262.31	$337.14	$424.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $2,000.00 / $5,304.00	Professional		$322.20	$2,000.00	$5,304.00