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 $385.43 / $410.13 / $668.31	Professional		$385.43	$410.13	$668.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $531.38 / $637.65	Professional		$410.67	$531.38	$637.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $597.51 / $671.32 / $3,857.00	Professional		$597.51	$671.32	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.61 / $510.12 / $595.14	Professional		$467.61	$510.12	$595.14
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 $433.60 / $531.38 / $687.24	Professional		$433.60	$531.38	$687.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $479.72 / $2,000.00 / $5,304.00	Professional		$479.72	$2,000.00	$5,304.00