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 $495.57 / $495.57 / $495.57	Professional		$495.57	$495.57	$495.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.10 / $679.93 / $815.91	Professional		$524.10	$679.93	$815.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $704.68 / $791.73 / $8,430.00	Professional		$704.68	$791.73	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $598.33 / $652.73 / $761.52	Professional		$598.33	$652.73	$761.52
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 $523.79 / $679.93 / $841.91	Professional		$523.79	$679.93	$841.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $481.55 / $2,040.00 / $5,309.00	Professional		$481.55	$2,040.00	$5,309.00