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 $461.52 / $461.52 / $461.52	Professional		$461.52	$461.52	$461.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.85 / $813.24 / $975.89	Professional		$625.85	$813.24	$975.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $749.77 / $842.39 / $3,857.00	Professional		$749.77	$842.39	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.65 / $780.71 / $910.83	Professional		$715.65	$780.71	$910.83
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 $539.99 / $813.24 / $1,020.18	Professional		$539.99	$813.24	$1,020.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $2,000.00 / $5,304.00	Professional		$574.91	$2,000.00	$5,304.00