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 $656.87 / $656.87 / $656.87	Professional		$656.87	$656.87	$656.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.17 / $673.38 / $808.05	Professional		$520.17	$673.38	$808.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $997.37 / $1,091.52 / $1,288.67	Professional		$997.37	$1,091.52	$1,288.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.57 / $646.44 / $754.18	Professional		$592.57	$646.44	$754.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.47 / $700.76 / $903.11	Professional		$549.47	$700.76	$903.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $642.36 / $2,000.00 / $5,304.00	Professional		$642.36	$2,000.00	$5,304.00