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 $599.91 / $599.91 / $599.91	Professional		$599.91	$599.91	$599.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.97 / $857.14 / $1,028.57	Professional		$678.97	$857.14	$1,028.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $921.36 / $1,008.32 / $1,190.45	Professional		$921.36	$1,008.32	$1,190.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.28 / $822.85 / $959.99	Professional		$754.28	$822.85	$959.99
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 $652.04 / $857.14 / $1,030.25	Professional		$652.04	$857.14	$1,030.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $629.62 / $2,000.00 / $5,304.00	Professional		$629.62	$2,000.00	$5,304.00