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 $271.89 / $430.17 / $1,392.29	Professional		$271.89	$430.17	$1,392.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.79 / $938.33 / $1,052.83	Professional		$341.79	$938.33	$1,052.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $403.83 / $502.84 / $4,116.00	Professional		$403.83	$502.84	$4,116.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.60 / $926.50 / $1,052.83	Professional		$301.60	$926.50	$1,052.83
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 $859.12 / $1,052.83 / $1,384.38	Professional		$859.12	$1,052.83	$1,384.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $353.10 / $1,925.00 / $5,287.00	Professional		$353.10	$1,925.00	$5,287.00