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 $453.12 / $618.46 / $872.08	Professional		$453.12	$618.46	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.69 / $684.38 / $821.25	Professional		$525.69	$684.38	$821.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $704.25 / $791.25 / $3,857.00	Professional		$704.25	$791.25	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.25 / $657.00 / $766.50	Professional		$602.25	$657.00	$766.50
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 $531.75 / $684.38 / $853.89	Professional		$531.75	$684.38	$853.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $503.86 / $2,000.00 / $5,304.00	Professional		$503.86	$2,000.00	$5,304.00