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 $339.38 / $465.56 / $631.91	Professional		$339.38	$465.56	$631.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.14 / $676.25 / $811.50	Professional		$538.14	$676.25	$811.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $632.12 / $736.45 / $863.25	Professional		$632.12	$736.45	$863.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.70 / $595.10 / $676.25	Professional		$437.70	$595.10	$676.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.04 / $676.25 / $884.06	Professional		$542.04	$676.25	$884.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $477.26 / $1,958.52 / $5,287.00	Professional		$477.26	$1,958.52	$5,287.00