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 $236.24 / $355.73 / $455.94	Professional		$236.24	$355.73	$455.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $541.08 / $649.29	Professional		$420.00	$541.08	$649.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $432.47 / $498.14 / $666.17	Professional		$432.47	$498.14	$666.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $458.83 / $541.08	Professional		$313.02	$458.83	$541.08
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 $399.32 / $541.08 / $695.48	Professional		$399.32	$541.08	$695.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $366.15 / $1,958.52 / $5,287.00	Professional		$366.15	$1,958.52	$5,287.00