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 $476.67 / $568.27 / $568.27	Professional		$476.67	$568.27	$568.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.33 / $840.01 / $840.01	Professional		$612.33	$840.01	$840.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $907.98 / $1,044.71 / $4,334.00	Professional		$907.98	$1,044.71	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.21 / $806.41 / $940.81	Professional		$739.21	$806.41	$940.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.66 / $840.01 / $1,030.65	Professional		$731.66	$840.01	$1,030.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $755.41 / $2,040.00 / $5,304.00	Professional		$755.41	$2,040.00	$5,304.00