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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.01 / $696.09 / $835.31	Professional		$568.01	$696.09	$835.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $599.51 / $708.92 / $863.28	Professional		$599.51	$708.92	$863.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.50 / $556.87 / $696.09	Professional		$424.50	$556.87	$696.09
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 $568.01 / $696.09 / $1,291.50	Professional		$568.01	$696.09	$1,291.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $1,958.52 / $5,287.00	Professional		$449.59	$1,958.52	$5,287.00