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 $448.78 / $533.00 / $533.00	Professional		$448.78	$533.00	$533.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.95 / $771.09 / $771.09	Professional		$577.95	$771.09	$771.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $826.29 / $950.71 / $6,874.20	Professional		$826.29	$950.71	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $678.56 / $740.24 / $863.62	Professional		$678.56	$740.24	$863.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.21 / $771.09 / $955.38	Professional		$629.21	$771.09	$955.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $709.18 / $2,040.00 / $5,304.00	Professional		$709.18	$2,040.00	$5,304.00