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 $581.02 / $581.02 / $581.02	Professional		$581.02	$581.02	$581.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.04 / $834.64 / $1,001.57	Professional		$661.04	$834.64	$1,001.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $884.35 / $1,008.77 / $3,935.00	Professional		$884.35	$1,008.77	$3,935.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.48 / $801.25 / $934.79	Professional		$734.48	$801.25	$934.79
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 $615.76 / $834.64 / $1,007.46	Professional		$615.76	$834.64	$1,007.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $686.58 / $2,000.00 / $5,304.00	Professional		$686.58	$2,000.00	$5,304.00