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 $266.00 / $351.02 / $411.30	Professional		$266.00	$351.02	$411.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.37 / $512.32 / $645.91	Professional		$405.37	$512.32	$645.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $579.25 / $667.20 / $749.83	Professional		$579.25	$667.20	$749.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.72 / $568.40 / $723.42	Professional		$416.72	$568.40	$723.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.05 / $645.91 / $766.11	Professional		$527.05	$645.91	$766.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $1,981.00 / $5,304.00	Professional		$449.59	$1,981.00	$5,304.00