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 $715.95 / $715.95 / $715.95	Professional		$715.95	$715.95	$715.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.43 / $992.16 / $1,190.59	Professional		$766.43	$992.16	$1,190.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,032.73 / $1,093.48 / $1,257.50	Professional		$1,032.73	$1,093.48	$1,257.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $873.10 / $952.48 / $1,111.22	Professional		$873.10	$952.48	$1,111.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.86 / $992.16 / $1,253.45	Professional		$784.86	$992.16	$1,253.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $705.74 / $1,958.52 / $5,287.00	Professional		$705.74	$1,958.52	$5,287.00