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 $688.43 / $688.43 / $688.43	Professional		$688.43	$688.43	$688.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.02 / $914.69 / $1,097.63	Professional		$707.02	$914.69	$1,097.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $952.71 / $1,070.39 / $5,851.00	Professional		$952.71	$1,070.39	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.93 / $878.10 / $1,024.45	Professional		$804.93	$878.10	$1,024.45
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 $722.65 / $914.69 / $1,154.46	Professional		$722.65	$914.69	$1,154.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $651.04 / $1,958.52 / $5,287.00	Professional		$651.04	$1,958.52	$5,287.00