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 $500.15 / $500.15 / $507.53	Professional		$500.15	$500.15	$507.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.89 / $654.28 / $785.13	Professional		$533.89	$654.28	$785.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $682.85 / $747.30 / $1,715.00	Professional		$682.85	$747.30	$1,715.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.58 / $628.10 / $722.37	Professional		$567.58	$628.10	$722.37
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 $511.03 / $654.28 / $820.29	Professional		$511.03	$654.28	$820.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $597.29 / $702.69	Professional		$87.84	$597.29	$702.69