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 $343.19 / $403.66 / $791.26	Professional		$343.19	$403.66	$791.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.99 / $609.15 / $609.15	Professional		$438.99	$609.15	$609.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $655.83 / $754.59 / $6,874.20	Professional		$655.83	$754.59	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.04 / $584.78 / $682.25	Professional		$536.04	$584.78	$682.25
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 $497.07 / $609.15 / $737.10	Professional		$497.07	$609.15	$737.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $540.79 / $2,040.00 / $5,304.00	Professional		$540.79	$2,040.00	$5,304.00