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 $188.80 / $276.01 / $912.60	Professional		$188.80	$276.01	$912.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.65 / $887.45 / $992.85	Professional		$242.65	$887.45	$992.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $354.15 / $4,116.00	Professional		$286.01	$354.15	$4,116.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $873.71 / $992.85	Professional		$213.23	$873.71	$992.85
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 $810.17 / $992.85 / $1,384.13	Professional		$810.17	$992.85	$1,384.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $1,925.00 / $5,287.00	Professional		$248.53	$1,925.00	$5,287.00