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 $384.34 / $570.52 / $880.02	Professional		$384.34	$570.52	$880.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.72 / $676.86 / $812.24	Professional		$542.72	$676.86	$812.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $561.49 / $660.41 / $872.48	Professional		$561.49	$660.41	$872.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.91 / $573.98 / $676.86	Professional		$394.91	$573.98	$676.86
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 $551.42 / $676.86 / $904.32	Professional		$551.42	$676.86	$904.32
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