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 $210.59 / $268.08 / $381.63	Professional		$210.59	$268.08	$381.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.45 / $403.32 / $439.36	Professional		$277.45	$403.32	$439.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $357.50 / $422.74 / $550.76	Professional		$357.50	$422.74	$550.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.64 / $386.64 / $492.09	Professional		$247.64	$386.64	$492.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.52 / $439.36 / $555.48	Professional		$358.52	$439.36	$555.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $305.06 / $1,981.00 / $5,304.00	Professional		$305.06	$1,981.00	$5,304.00