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 $298.94 / $298.94 / $421.34	Professional		$298.94	$298.94	$421.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.61 / $507.31 / $608.78	Professional		$395.61	$507.31	$608.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $410.13 / $484.98 / $631.63	Professional		$410.13	$484.98	$631.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.68 / $430.20 / $507.31	Professional		$290.68	$430.20	$507.31
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 $413.97 / $507.31 / $752.75	Professional		$413.97	$507.31	$752.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $345.73 / $1,958.52 / $5,287.00	Professional		$345.73	$1,958.52	$5,287.00