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 $295.99 / $295.99 / $320.30	Professional		$295.99	$295.99	$320.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.31 / $501.86 / $602.24	Professional		$383.31	$501.86	$602.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $472.46 / $517.05 / $610.44	Professional		$472.46	$517.05	$610.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.08 / $441.64 / $521.94	Professional		$388.08	$441.64	$521.94
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 $352.26 / $501.86 / $602.94	Professional		$352.26	$501.86	$602.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $349.01 / $520.89	Professional		$65.62	$349.01	$520.89