Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $1,486.00 / $3,883.00	Facility		$1,157.88	$1,486.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.69 / $462.11 / $575.80	Professional		$304.69	$462.11	$575.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.35 / $379.10 / $471.18	Professional		$309.35	$379.10	$471.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $488.72 / $590.11 / $731.09	Professional		$488.72	$590.11	$731.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.93 / $321.48 / $379.10	Professional		$190.93	$321.48	$379.10
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 $309.35 / $387.67 / $934.19	Professional		$309.35	$387.67	$934.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $280.39 / $1,958.52 / $5,287.00	Professional		$280.39	$1,958.52	$5,287.00