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 $528.64 / $796.51 / $1,122.67	Professional		$528.64	$796.51	$1,122.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.50 / $911.11 / $1,093.33	Professional		$705.50	$911.11	$1,093.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $820.46 / $970.20 / $1,198.49	Professional		$820.46	$970.20	$1,198.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.80 / $772.62 / $911.11	Professional		$552.80	$772.62	$911.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $743.47 / $911.11 / $1,218.65	Professional		$743.47	$911.11	$1,218.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $584.64 / $1,958.52 / $5,287.00	Professional		$584.64	$1,958.52	$5,287.00