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 $610.91 / $610.91 / $610.91	Professional		$610.91	$610.91	$610.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.14 / $758.56 / $910.28	Professional		$585.14	$758.56	$910.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $788.34 / $862.75 / $1,066.58	Professional		$788.34	$862.75	$1,066.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.54 / $728.22 / $849.59	Professional		$667.54	$728.22	$849.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.22 / $758.56 / $949.80	Professional		$616.22	$758.56	$949.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $538.72 / $1,958.52 / $5,287.00	Professional		$538.72	$1,958.52	$5,287.00