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 $433.32 / $433.32 / $433.32	Professional		$433.32	$433.32	$433.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.71 / $594.48 / $713.37	Professional		$454.71	$594.48	$713.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $607.26 / $682.27 / $3,857.00	Professional		$607.26	$682.27	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.14 / $570.70 / $665.81	Professional		$523.14	$570.70	$665.81
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 $428.96 / $594.48 / $721.47	Professional		$428.96	$594.48	$721.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $449.30 / $624.91	Professional		$29.27	$449.30	$624.91