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 $280.19 / $410.20 / $774.30	Professional		$280.19	$410.20	$774.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.89 / $597.19 / $716.63	Professional		$465.89	$597.19	$716.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $487.14 / $588.20 / $745.17	Professional		$487.14	$588.20	$745.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $506.42 / $597.19	Professional		$353.00	$506.42	$597.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.05 / $597.19 / $787.35	Professional		$477.05	$597.19	$787.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $421.14 / $1,958.52 / $5,287.00	Professional		$421.14	$1,958.52	$5,287.00