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 $302.10 / $345.79 / $650.57	Professional		$302.10	$345.79	$650.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.96 / $504.24 / $605.09	Professional		$400.96	$504.24	$605.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $516.32 / $580.11 / $2,077.00	Professional		$516.32	$580.11	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.26 / $448.03 / $524.41	Professional		$394.26	$448.03	$524.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.30 / $504.24 / $612.47	Professional		$377.30	$504.24	$612.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $420.92 / $618.23	Professional		$66.42	$420.92	$618.23