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 $273.10 / $273.10 / $396.80	Professional		$273.10	$273.10	$396.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $480.09 / $576.11	Professional		$374.00	$480.09	$576.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $374.97 / $463.55 / $596.17	Professional		$374.97	$463.55	$596.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.35 / $407.11 / $480.09	Professional		$268.35	$407.11	$480.09
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 $385.40 / $479.24 / $632.12	Professional		$385.40	$479.24	$632.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $1,958.52 / $5,287.00	Professional		$317.47	$1,958.52	$5,287.00