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 $367.81 / $367.81 / $367.81	Professional		$367.81	$367.81	$367.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $593.90 / $712.68	Professional		$438.93	$593.90	$712.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $612.55 / $648.59 / $745.88	Professional		$612.55	$648.59	$745.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.63 / $570.14 / $665.17	Professional		$522.63	$570.14	$665.17
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 $455.33 / $593.90 / $733.20	Professional		$455.33	$593.90	$733.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $1,958.52 / $5,287.00	Professional		$449.59	$1,958.52	$5,287.00