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 $382.48 / $456.40 / $476.54	Professional		$382.48	$456.40	$476.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.19 / $671.75 / $671.75	Professional		$490.19	$671.75	$671.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $721.47 / $810.59 / $4,582.80	Professional		$721.47	$810.59	$4,582.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $591.14 / $644.88 / $752.36	Professional		$591.14	$644.88	$752.36
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 $548.15 / $671.75 / $818.30	Professional		$548.15	$671.75	$818.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $606.12 / $2,040.00 / $5,304.00	Professional		$606.12	$2,040.00	$5,304.00