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 $376.23 / $446.50 / $1,641.08	Professional		$376.23	$446.50	$1,641.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.85 / $621.54 / $621.54	Professional		$460.85	$621.54	$621.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $654.59 / $753.17 / $4,334.00	Professional		$654.59	$753.17	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.95 / $596.67 / $696.12	Professional		$546.95	$596.67	$696.12
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 $507.17 / $621.54 / $781.05	Professional		$507.17	$621.54	$781.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $2,000.00 / $5,304.00	Professional		$449.59	$2,000.00	$5,304.00