Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.63 / $413.76 / $1,793.50	Professional		$293.63	$413.76	$1,793.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.05 / $623.74 / $748.49	Professional		$483.05	$623.74	$748.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $615.62 / $769.15	Professional		$74.55	$615.62	$769.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.91 / $528.92 / $623.74	Professional		$382.91	$528.92	$623.74
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 $493.26 / $623.74 / $805.37	Professional		$493.26	$623.74	$805.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $406.19 / $1,658.00 / $3,956.00	Professional		$406.19	$1,658.00	$3,956.00