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 $681.91 / $681.91 / $681.91	Professional		$681.91	$681.91	$681.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.96 / $905.73 / $1,086.86	Professional		$699.96	$905.73	$1,086.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $943.02 / $998.50 / $1,148.27	Professional		$943.02	$998.50	$1,148.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.04 / $869.50 / $1,014.41	Professional		$797.04	$869.50	$1,014.41
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 $714.71 / $905.73 / $1,142.01	Professional		$714.71	$905.73	$1,142.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $644.42 / $1,958.52 / $5,287.00	Professional		$644.42	$1,958.52	$5,287.00