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 $145.43 / $298.72 / $627.69	Professional		$145.43	$298.72	$627.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.74 / $459.34 / $481.83	Professional		$225.74	$459.34	$481.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $273.06 / $337.25 / $624.10	Professional		$273.06	$337.25	$624.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $424.01 / $539.64	Professional		$185.66	$424.01	$539.64
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 $439.14 / $481.83 / $610.25	Professional		$439.14	$481.83	$610.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $362.52 / $1,981.00 / $5,304.00	Professional		$362.52	$1,981.00	$5,304.00